| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
170 |
166 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
103 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
503 |
479 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
183 |
183 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$555.94 |
| 73630 |
|
36 |
34 |
$331.67 |
| 73130 |
|
16 |
16 |
$144.88 |
| 73030 |
|
12 |
12 |
$134.96 |
| 74018 |
|
35 |
35 |
$134.37 |
| 73564 |
|
15 |
14 |
$102.11 |