| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
259 |
253 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
332 |
315 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
131 |
128 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
121 |
118 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
625 |
563 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$870.95 |
| 71046 |
Radiologic examination, chest; 2 views |
88 |
80 |
$488.42 |