| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,264 |
1,742 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
329 |
311 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
56 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
207 |
201 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
29 |
$923.58 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$383.62 |
| 73620 |
|
21 |
20 |
$108.92 |
| 73600 |
|
14 |
14 |
$99.05 |