| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
713 |
663 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
604 |
570 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
198 |
183 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
285 |
273 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
218 |
196 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,477 |
1,410 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
816 |
783 |
$5K |
| 71250 |
|
89 |
83 |
$3K |
| 73610 |
|
133 |
127 |
$2K |
| 73630 |
|
156 |
143 |
$2K |
| 73130 |
|
112 |
106 |
$1K |
| 72131 |
|
16 |
12 |
$640.10 |
| 73030 |
|
62 |
57 |
$614.04 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$492.19 |
| 73110 |
|
42 |
42 |
$458.48 |
| 73562 |
|
12 |
12 |
$135.40 |