| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,106 |
2,052 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
931 |
835 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
98 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
15 |
$876.74 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
30 |
30 |
$633.10 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$99.50 |