| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
725 |
666 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
445 |
406 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,435 |
2,401 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
139 |
130 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
195 |
187 |
$1K |
| 74018 |
|
117 |
57 |
$579.78 |
| 71250 |
|
13 |
12 |
$461.66 |
| 74230 |
|
12 |
12 |
$400.30 |