| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
459 |
433 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
256 |
251 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,307 |
1,156 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
26 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
229 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$209.70 |