| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
856 |
816 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
984 |
927 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,348 |
2,147 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
120 |
109 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
936 |
797 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
98 |
93 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
49 |
46 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
38 |
$1K |
| 71250 |
|
16 |
12 |
$193.85 |
| 73502 |
|
15 |
14 |
$68.56 |
| 73630 |
|
20 |
17 |
$65.83 |