| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,340 |
1,333 |
$87K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
537 |
532 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
227 |
226 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
85 |
85 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
40 |
39 |
$233.46 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
27 |
$200.16 |