| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,405 |
1,317 |
$93K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
252 |
223 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
356 |
347 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
2,006 |
1,903 |
$10K |
| 74174 |
|
177 |
154 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
328 |
307 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,449 |
1,260 |
$6K |
| 72129 |
|
152 |
125 |
$4K |
| 72132 |
|
135 |
112 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
139 |
136 |
$4K |
| 70498 |
|
35 |
30 |
$4K |
| 70486 |
|
37 |
36 |
$927.14 |
| 73630 |
|
61 |
55 |
$512.93 |
| 73564 |
|
53 |
44 |
$465.30 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$370.57 |
| 73590 |
|
15 |
13 |
$166.63 |
| 73610 |
|
13 |
12 |
$134.82 |
| 72170 |
|
16 |
13 |
$117.87 |
| 73502 |
|
12 |
12 |
$33.75 |