| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,142 |
2,101 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
4,358 |
3,985 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
298 |
297 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,034 |
1,025 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
108 |
108 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
95 |
95 |
$921.17 |
| 73630 |
|
327 |
285 |
$900.15 |
| 73562 |
|
151 |
134 |
$532.34 |
| 73502 |
|
54 |
53 |
$205.30 |
| 73030 |
|
57 |
54 |
$151.94 |
| 73610 |
|
33 |
27 |
$76.70 |
| 73110 |
|
15 |
12 |
$30.71 |