| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
929 |
885 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
528 |
496 |
$34K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
108 |
106 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,608 |
1,475 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
149 |
139 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
968 |
921 |
$6K |
| 73630 |
|
277 |
265 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
17 |
$909.72 |
| 73610 |
|
24 |
24 |
$319.04 |
| 73564 |
|
26 |
25 |
$293.21 |
| 72100 |
|
12 |
12 |
$160.02 |
| 74018 |
|
25 |
24 |
$145.78 |
| 73130 |
|
13 |
13 |
$129.09 |
| 73030 |
|
13 |
12 |
$125.76 |