| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
466 |
392 |
$30K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
61 |
42 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
457 |
428 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
29 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
40 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
123 |
$672.30 |
| 71250 |
|
15 |
13 |
$489.09 |