| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
382 |
372 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
288 |
277 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,319 |
1,247 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
27 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
196 |
186 |
$1K |
| 73630 |
|
90 |
71 |
$983.99 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
31 |
$872.65 |
| 74018 |
|
125 |
121 |
$690.49 |
| 73560 |
|
65 |
63 |
$599.67 |
| 73610 |
|
42 |
38 |
$564.87 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$443.84 |
| 72100 |
|
30 |
28 |
$333.05 |
| 73600 |
|
29 |
27 |
$302.60 |
| 73620 |
|
31 |
27 |
$221.58 |
| 73030 |
|
21 |
17 |
$184.94 |
| 73110 |
|
17 |
16 |
$168.24 |