| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
644 |
616 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
615 |
590 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
304 |
295 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,078 |
1,050 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,238 |
1,153 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$2K |
| 71250 |
|
171 |
165 |
$2K |
| 73630 |
|
109 |
95 |
$1K |
| 73564 |
|
46 |
40 |
$456.42 |
| 73610 |
|
25 |
24 |
$336.78 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$222.27 |
| 74018 |
|
40 |
40 |
$165.45 |
| 73130 |
|
16 |
15 |
$137.91 |
| 73030 |
|
13 |
12 |
$113.54 |