| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,781 |
1,771 |
$116K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
816 |
814 |
$47K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
332 |
331 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
157 |
156 |
$8K |
| 71250 |
|
91 |
91 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
143 |
141 |
$826.12 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
51 |
$414.77 |