| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
512 |
506 |
$41K |
| 70450 |
Computed tomography, head or brain; without contrast material |
374 |
367 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
41 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
52 |
52 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$741.66 |
| 71045 |
Radiologic examination, chest; single view |
30 |
30 |
$211.49 |