| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
340 |
331 |
$14K |
| 70498 |
|
181 |
179 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
189 |
186 |
$12K |
| 70496 |
|
95 |
93 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
75 |
74 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
145 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
242 |
228 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$788.41 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$670.39 |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
34 |
$279.76 |