| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,633 |
2,388 |
$165K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
339 |
315 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
5,415 |
4,723 |
$25K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
488 |
432 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,168 |
2,042 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
231 |
220 |
$11K |
| 70496 |
|
48 |
39 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
54 |
50 |
$4K |
| 70498 |
|
38 |
29 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
40 |
36 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 74018 |
|
300 |
282 |
$1K |
| 73630 |
|
66 |
62 |
$679.67 |
| 73610 |
|
43 |
42 |
$541.06 |
| 72110 |
|
24 |
24 |
$448.50 |
| 70486 |
|
16 |
13 |
$416.59 |
| 73030 |
|
43 |
42 |
$410.20 |
| 72131 |
|
14 |
12 |
$347.75 |
| 72100 |
|
15 |
14 |
$171.03 |
| 93971 |
|
13 |
13 |
$143.22 |
| 73110 |
|
13 |
13 |
$134.90 |
| 73130 |
|
14 |
14 |
$122.56 |
| 76376 |
|
18 |
17 |
$67.98 |