| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
95 |
91 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
117 |
115 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,046 |
954 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
195 |
178 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$302.17 |
| 74018 |
|
52 |
45 |
$198.13 |