| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,799 |
2,375 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
114 |
114 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
795 |
785 |
$6K |
| 71250 |
|
104 |
104 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$702.26 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$453.97 |
| 73610 |
|
26 |
25 |
$232.45 |
| 73630 |
|
13 |
13 |
$84.09 |
| 73560 |
|
12 |
12 |
$81.24 |