| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
808 |
798 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
433 |
430 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
575 |
552 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
55 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
49 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
150 |
149 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$425.26 |
| 71047 |
|
31 |
31 |
$322.71 |