| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
710 |
687 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,526 |
1,415 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
87 |
87 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
321 |
316 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$135.49 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
64 |
56 |
$0.00 |