| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
512 |
506 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
2,565 |
2,381 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
606 |
601 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
64 |
64 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
40 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
117 |
116 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$884.16 |
| 71250 |
|
13 |
13 |
$585.35 |
| 73630 |
|
57 |
57 |
$463.43 |
| 72131 |
|
12 |
12 |
$295.04 |
| 73610 |
|
25 |
25 |
$218.88 |
| 73030 |
|
27 |
27 |
$174.91 |
| 73560 |
|
13 |
13 |
$112.16 |
| 73130 |
|
12 |
12 |
$99.38 |
| 73502 |
|
13 |
13 |
$72.51 |