| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
390 |
372 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
314 |
305 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
165 |
156 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
137 |
133 |
$9K |
| 72141 |
|
110 |
107 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
140 |
139 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
86 |
85 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
668 |
585 |
$3K |
| 70496 |
|
15 |
14 |
$1K |
| 71250 |
|
26 |
26 |
$968.28 |
| 71046 |
Radiologic examination, chest; 2 views |
154 |
148 |
$768.85 |
| 73630 |
|
71 |
68 |
$636.67 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$476.86 |
| 73030 |
|
42 |
41 |
$350.36 |
| 72100 |
|
32 |
30 |
$324.77 |
| 73610 |
|
24 |
24 |
$301.91 |
| 73130 |
|
18 |
17 |
$170.41 |
| 74018 |
|
33 |
28 |
$152.98 |
| 73110 |
|
12 |
12 |
$109.83 |