| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
677 |
635 |
$37K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
85 |
83 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,558 |
1,353 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
202 |
197 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
94 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
174 |
169 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
570 |
557 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
28 |
$2K |
| 76642 |
|
61 |
38 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$1K |
| 73630 |
|
27 |
20 |
$367.21 |
| 73130 |
|
22 |
14 |
$265.35 |
| 73562 |
|
17 |
15 |
$195.72 |
| 73610 |
|
14 |
13 |
$184.64 |
| 72100 |
|
15 |
15 |
$140.50 |