| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
234 |
224 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
252 |
248 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
53 |
52 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
350 |
334 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
384 |
368 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
15 |
$604.60 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$523.02 |
| 73610 |
|
14 |
13 |
$186.74 |
| 74018 |
|
12 |
12 |
$69.48 |