| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
133 |
124 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,177 |
508 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
594 |
567 |
$4K |
| 76770 |
|
168 |
155 |
$4K |
| 74230 |
|
163 |
157 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
117 |
107 |
$3K |
| 74018 |
|
502 |
307 |
$3K |
| 74019 |
|
252 |
227 |
$2K |
| 76506 |
|
117 |
92 |
$2K |
| 51600 |
|
16 |
14 |
$1K |
| 73630 |
|
151 |
143 |
$941.36 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
17 |
16 |
$888.06 |
| 73130 |
|
111 |
100 |
$663.03 |
| 73610 |
|
111 |
103 |
$631.06 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$529.19 |
| 73090 |
|
84 |
74 |
$449.01 |
| 72170 |
|
63 |
57 |
$406.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
27 |
$400.95 |
| 73590 |
|
64 |
61 |
$398.48 |
| 73562 |
|
54 |
49 |
$311.19 |
| 77077 |
|
32 |
28 |
$284.14 |
| 72082 |
|
20 |
18 |
$230.43 |
| 73080 |
|
34 |
31 |
$199.06 |
| 74455 |
|
16 |
14 |
$157.80 |
| 73100 |
|
22 |
14 |
$124.10 |
| 73560 |
|
20 |
12 |
$109.66 |
| 73110 |
|
15 |
13 |
$92.31 |
| 73140 |
|
22 |
15 |
$77.04 |