| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
527 |
483 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
670 |
576 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,638 |
1,110 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
487 |
462 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
51 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
72 |
62 |
$2K |
| 70498 |
|
52 |
41 |
$1K |
| 70496 |
|
23 |
16 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
41 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
32 |
29 |
$756.42 |
| 74018 |
|
96 |
83 |
$333.77 |