| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
449 |
429 |
$89K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
970 |
931 |
$65K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
239 |
235 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,525 |
1,402 |
$48K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
427 |
411 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
2,614 |
2,495 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
415 |
394 |
$18K |
| 72141 |
|
68 |
67 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
669 |
609 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
39 |
$3K |
| 72100 |
|
74 |
74 |
$2K |
| 70498 |
|
30 |
28 |
$2K |
| 70496 |
|
13 |
13 |
$859.12 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$693.85 |
| 72131 |
|
12 |
12 |
$465.99 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
13 |
$445.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$228.88 |
| 73130 |
|
28 |
25 |
$193.94 |
| 73560 |
|
30 |
24 |
$179.98 |
| 73630 |
|
14 |
12 |
$124.08 |
| 73610 |
|
14 |
13 |
$100.34 |