| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
763 |
744 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
711 |
676 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
152 |
150 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,729 |
1,506 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
974 |
957 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
58 |
55 |
$2K |
| 71250 |
|
43 |
42 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
26 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$529.21 |