| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
238 |
226 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
131 |
125 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
343 |
336 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
388 |
317 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$783.84 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$692.50 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$527.42 |