| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
520 |
478 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
503 |
468 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
81 |
73 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,235 |
1,122 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
142 |
139 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,524 |
1,260 |
$4K |
| 73630 |
|
71 |
63 |
$705.15 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
35 |
34 |
$664.06 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$383.21 |
| 74018 |
|
80 |
73 |
$315.69 |
| 73030 |
|
17 |
15 |
$160.95 |
| 71250 |
|
15 |
13 |
$158.16 |
| 73610 |
|
15 |
15 |
$156.44 |