| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
155 |
141 |
$10K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
13 |
12 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
497 |
411 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
48 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$1K |
| 73630 |
|
24 |
21 |
$268.75 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
42 |
$266.76 |
| 73610 |
|
14 |
12 |
$186.55 |
| 73562 |
|
13 |
12 |
$155.82 |
| 73130 |
|
14 |
14 |
$139.02 |