| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,677 |
2,569 |
$126K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
480 |
461 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
193 |
190 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,655 |
1,574 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
62 |
62 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
77 |
75 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
117 |
116 |
$732.93 |