| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
178 |
175 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
89 |
87 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$2K |
| 71250 |
|
26 |
26 |
$940.56 |
| 71045 |
Radiologic examination, chest; single view |
57 |
55 |
$333.40 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$241.15 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
24 |
$236.47 |