| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
443 |
404 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
281 |
246 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,057 |
1,641 |
$8K |
| 73562 |
|
336 |
272 |
$4K |
| 73630 |
|
302 |
249 |
$3K |
| 73130 |
|
289 |
222 |
$3K |
| 74018 |
|
575 |
474 |
$3K |
| 73030 |
|
246 |
218 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
29 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
325 |
297 |
$2K |
| 73610 |
|
95 |
90 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$880.61 |
| 73502 |
|
108 |
99 |
$562.05 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$542.65 |
| 73560 |
|
49 |
41 |
$434.62 |
| 73590 |
|
41 |
35 |
$255.14 |
| 73080 |
|
14 |
12 |
$113.04 |