| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
738 |
712 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
219 |
215 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,495 |
1,438 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
686 |
678 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$461.99 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$299.76 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
35 |
24 |
$0.00 |