| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
300 |
298 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
367 |
363 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,293 |
1,232 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
90 |
89 |
$4K |
| 70498 |
|
42 |
40 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
311 |
304 |
$2K |
| 70496 |
|
39 |
37 |
$2K |
| 72131 |
|
41 |
41 |
$2K |
| 71250 |
|
52 |
51 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$561.56 |