| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
207 |
205 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
218 |
207 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
51 |
51 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
112 |
112 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
270 |
264 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
46 |
46 |
$2K |
| 72131 |
|
60 |
60 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
225 |
188 |
$2K |
| 72128 |
|
40 |
40 |
$1K |
| 70486 |
|
30 |
30 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$811.52 |
| 73610 |
|
38 |
32 |
$324.29 |
| 73630 |
|
43 |
41 |
$301.62 |
| 73130 |
|
36 |
33 |
$300.47 |
| 73564 |
|
24 |
18 |
$234.18 |
| 73030 |
|
30 |
28 |
$191.35 |
| 73090 |
|
16 |
13 |
$157.30 |
| 73590 |
|
19 |
15 |
$133.62 |
| 73110 |
|
17 |
16 |
$131.55 |
| 73560 |
|
14 |
12 |
$98.74 |