| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
657 |
650 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,179 |
1,150 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
3,014 |
2,788 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
134 |
131 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
414 |
412 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
76 |
75 |
$666.47 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$240.48 |
| 71250 |
|
13 |
13 |
$162.62 |