| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
594 |
584 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
872 |
860 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
383 |
380 |
$23K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
393 |
386 |
$17K |
| 72131 |
|
197 |
193 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
120 |
$7K |
| 72128 |
|
114 |
110 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
45 |
44 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
469 |
454 |
$3K |
| 70486 |
|
26 |
26 |
$1K |
| 73630 |
|
145 |
144 |
$1K |
| 73610 |
|
108 |
103 |
$809.62 |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
82 |
$672.63 |
| 73030 |
|
19 |
18 |
$131.13 |
| 73590 |
|
15 |
15 |
$119.63 |
| 73130 |
|
12 |
12 |
$101.82 |
| 73552 |
|
13 |
13 |
$94.00 |