| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
299 |
294 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
133 |
131 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,300 |
1,260 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
182 |
181 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
79 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
90 |
89 |
$809.83 |
| 72128 |
|
12 |
12 |
$406.45 |
| 72131 |
|
12 |
12 |
$388.78 |