| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
91 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
900 |
654 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
424 |
347 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
82 |
78 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
36 |
36 |
$3K |
| 74018 |
|
103 |
75 |
$551.97 |
| 99053 |
|
85 |
83 |
$0.00 |