| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
620 |
583 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
414 |
404 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
942 |
854 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
25 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
46 |
45 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
101 |
99 |
$667.48 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$470.16 |