| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
636 |
628 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
556 |
537 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
651 |
647 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
87 |
86 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
800 |
701 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
29 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$630.56 |
| 73630 |
|
25 |
25 |
$189.75 |
| 73610 |
|
13 |
13 |
$114.92 |