| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,234 |
1,143 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
574 |
554 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,972 |
2,604 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,005 |
940 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$849.82 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$551.70 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
14 |
$521.07 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$427.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$318.54 |
| 73564 |
|
15 |
14 |
$164.44 |