| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,240 |
1,085 |
$82K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
654 |
610 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
118 |
116 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,160 |
1,495 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
230 |
211 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
163 |
159 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
314 |
302 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$1K |