| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
431 |
407 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
175 |
153 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,580 |
1,201 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
55 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
12 |
$740.54 |
| 76536 |
|
13 |
12 |
$466.09 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
38 |
$215.79 |