| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
639 |
591 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
858 |
812 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
1,074 |
896 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
571 |
544 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
44 |
$2K |
| 73630 |
|
93 |
83 |
$833.27 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
28 |
$769.25 |
| 73610 |
|
29 |
28 |
$390.85 |
| 73564 |
|
29 |
27 |
$318.66 |