| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
343 |
291 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
208 |
193 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,804 |
1,480 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
356 |
309 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
37 |
36 |
$1K |
| 73130 |
|
21 |
14 |
$320.25 |
| 71250 |
|
12 |
12 |
$280.58 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$247.66 |
| 73630 |
|
21 |
16 |
$178.59 |
| 74018 |
|
27 |
21 |
$120.34 |