| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,159 |
1,083 |
$69K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
975 |
927 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
2,398 |
2,130 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,020 |
983 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
87 |
87 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
78 |
76 |
$3K |
| 73610 |
|
39 |
38 |
$559.84 |
| 73630 |
|
26 |
25 |
$243.36 |
| 73560 |
|
12 |
12 |
$101.48 |