| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
963 |
952 |
$66K |
| 70450 |
Computed tomography, head or brain; without contrast material |
589 |
574 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
241 |
236 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,157 |
1,142 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,226 |
1,133 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
39 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
50 |
49 |
$2K |
| 70498 |
|
13 |
13 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$750.19 |
| 73130 |
|
28 |
27 |
$239.25 |
| 73630 |
|
12 |
12 |
$90.75 |