| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
626 |
611 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
58 |
55 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
62 |
62 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
287 |
248 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$1K |
| 73630 |
|
114 |
113 |
$919.42 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$841.30 |
| 73610 |
|
47 |
46 |
$304.98 |
| 73564 |
|
15 |
15 |
$171.86 |