| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
532 |
497 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
5,842 |
4,608 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,136 |
2,009 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
202 |
188 |
$8K |
| 74018 |
|
1,536 |
1,174 |
$7K |
| 73562 |
|
649 |
521 |
$6K |
| 73630 |
|
531 |
487 |
$5K |
| 73030 |
|
472 |
416 |
$4K |
| 73130 |
|
421 |
363 |
$4K |
| 73610 |
|
293 |
265 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
14 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
46 |
40 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$2K |
| 73502 |
|
195 |
173 |
$932.09 |
| 73110 |
|
61 |
51 |
$607.38 |
| 73590 |
|
15 |
15 |
$158.61 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
70 |
70 |
$107.69 |