| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,162 |
1,152 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,408 |
1,365 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
3,430 |
3,048 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
215 |
214 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
159 |
157 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
328 |
326 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
205 |
203 |
$911.81 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
82 |
82 |
$755.54 |
| 71250 |
|
65 |
65 |
$730.23 |
| 72128 |
|
40 |
40 |
$241.22 |
| 72131 |
|
41 |
41 |
$220.26 |