| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,361 |
1,286 |
$74K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
689 |
669 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
3,500 |
3,188 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
65 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
90 |
87 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
388 |
379 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
50 |
$2K |
| 73610 |
|
75 |
73 |
$1K |
| 74018 |
|
184 |
169 |
$625.88 |
| 73630 |
|
60 |
58 |
$583.53 |
| 73564 |
|
26 |
25 |
$261.66 |
| 73130 |
|
12 |
12 |
$130.69 |
| 73030 |
|
14 |
14 |
$128.72 |
| 73110 |
|
15 |
14 |
$127.80 |