| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36482 |
|
39 |
25 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
256 |
255 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
743 |
719 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,516 |
1,828 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,092 |
1,083 |
$8K |
| 93970 |
|
45 |
45 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
45 |
$2K |
| 93971 |
|
58 |
50 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
63 |
63 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |