| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
369 |
351 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
293 |
267 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
47 |
39 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
69 |
69 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
586 |
554 |
$3K |
| 71271 |
|
54 |
40 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
274 |
252 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$637.88 |
| 71250 |
|
12 |
12 |
$311.02 |