| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,039 |
1,523 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
296 |
220 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
91 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
447 |
356 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
25 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$1K |
| 71010 |
|
345 |
290 |
$1K |
| 71020 |
|
142 |
129 |
$396.00 |
| 74018 |
|
57 |
25 |
$183.67 |
| 73130 |
|
12 |
12 |
$160.30 |