| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
396 |
393 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
144 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,278 |
1,188 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
950 |
937 |
$7K |
| 71250 |
|
192 |
189 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
227 |
224 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
79 |
$4K |
| 73630 |
|
394 |
382 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
54 |
54 |
$3K |
| 72100 |
|
258 |
254 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
38 |
38 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
68 |
66 |
$2K |
| 76536 |
|
85 |
85 |
$2K |
| 73030 |
|
219 |
217 |
$2K |
| 73562 |
|
148 |
147 |
$1K |
| 72141 |
|
16 |
16 |
$979.56 |
| 73610 |
|
69 |
68 |
$573.57 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$568.72 |
| 73502 |
|
52 |
52 |
$381.88 |
| 76770 |
|
14 |
14 |
$355.65 |
| 73130 |
|
38 |
38 |
$306.35 |
| 74018 |
|
33 |
30 |
$225.33 |
| 73564 |
|
14 |
14 |
$158.39 |