| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
593 |
567 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
381 |
366 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
196 |
190 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
85 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
259 |
184 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
193 |
192 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$1K |