| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,606 |
1,593 |
$105K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
766 |
755 |
$45K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
189 |
186 |
$15K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
251 |
250 |
$13K |
| 71250 |
|
86 |
86 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
288 |
285 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
67 |
63 |
$451.08 |