| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
260 |
257 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
629 |
618 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,533 |
1,487 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
668 |
663 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$173.91 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
13 |
13 |
$0.00 |