| Code | Description | Claims | Bene. Records | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,071 |
908 |
$57K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
756 |
625 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
2,805 |
1,524 |
$16K |
| 74018 |
|
423 |
269 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
13 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
232 |
185 |
$2K |
| 71250 |
|
26 |
26 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$677.23 |
| 72170 |
|
50 |
42 |
$486.92 |
| 73610 |
|
31 |
24 |
$486.63 |
| 72040 |
|
20 |
12 |
$205.66 |