| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,433 |
1,348 |
$88K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
425 |
405 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,808 |
2,666 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,416 |
2,136 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
78 |
78 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
47 |
47 |
$3K |
| 72141 |
|
26 |
26 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
26 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$1K |
| 73610 |
|
45 |
43 |
$621.04 |
| 73030 |
|
55 |
52 |
$538.02 |
| 73630 |
|
43 |
39 |
$438.05 |
| 74018 |
|
45 |
45 |
$216.06 |
| 73564 |
|
14 |
14 |
$153.92 |
| 73130 |
|
15 |
15 |
$152.35 |