| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,042 |
1,969 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
233 |
229 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
127 |
127 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
83 |
83 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
162 |
160 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
98 |
98 |
$5K |
| 72131 |
|
63 |
63 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
267 |
266 |
$2K |
| 72128 |
|
37 |
37 |
$2K |
| 71250 |
|
13 |
13 |
$406.04 |
| 73630 |
|
43 |
38 |
$376.45 |
| 73610 |
|
19 |
19 |
$157.69 |