| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,668 |
1,595 |
$84K |
| 71045 |
Radiologic examination, chest; single view |
1,569 |
1,472 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
85 |
83 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
399 |
387 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$550.48 |
| 93971 |
|
43 |
39 |
$445.55 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$361.66 |
| 76770 |
|
12 |
12 |
$216.79 |