| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
252 |
250 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
298 |
294 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,008 |
898 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
535 |
531 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
44 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 73630 |
|
25 |
25 |
$193.01 |
| 73030 |
|
16 |
15 |
$158.52 |
| 73610 |
|
12 |
12 |
$107.79 |