| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,688 |
4,297 |
$231K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,791 |
1,739 |
$105K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,747 |
1,670 |
$104K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,268 |
1,220 |
$79K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,730 |
1,624 |
$68K |
| 72141 |
|
459 |
447 |
$31K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,295 |
1,183 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
6,121 |
4,899 |
$22K |
| 70496 |
|
233 |
215 |
$19K |
| 70498 |
|
212 |
195 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
169 |
165 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
444 |
425 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,114 |
1,969 |
$11K |
| 70486 |
|
260 |
245 |
$8K |
| 71250 |
|
250 |
229 |
$5K |
| 73630 |
|
411 |
367 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
128 |
127 |
$2K |
| 73562 |
|
242 |
197 |
$2K |
| 73030 |
|
223 |
191 |
$2K |
| 70491 |
|
38 |
37 |
$2K |
| 72131 |
|
77 |
74 |
$2K |
| 73564 |
|
122 |
104 |
$1K |
| 73610 |
|
99 |
82 |
$1K |
| 74018 |
|
349 |
298 |
$1K |
| 73502 |
|
101 |
93 |
$541.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
26 |
$531.93 |
| 70544 |
|
14 |
14 |
$531.71 |
| 73130 |
|
26 |
25 |
$260.35 |
| 72110 |
|
15 |
13 |
$251.69 |
| 73110 |
|
16 |
14 |
$181.40 |
| 72100 |
|
14 |
14 |
$158.15 |
| 73560 |
|
14 |
12 |
$156.80 |
| 73080 |
|
14 |
14 |
$143.13 |