| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
711 |
700 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,641 |
2,459 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
697 |
685 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
80 |
78 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
96 |
96 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
311 |
302 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
93 |
92 |
$600.99 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
25 |
$213.66 |
| 71250 |
|
12 |
12 |
$41.96 |