| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
668 |
596 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
88 |
87 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
941 |
920 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
681 |
642 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
40 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
36 |
31 |
$843.58 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$843.06 |
| 70491 |
|
17 |
15 |
$643.99 |