| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
226 |
220 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
278 |
273 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
765 |
752 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
89 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
852 |
813 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
78 |
74 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$522.79 |
| 73630 |
|
41 |
41 |
$301.32 |
| 76536 |
|
13 |
13 |
$267.30 |
| 74018 |
|
27 |
27 |
$188.07 |
| 73130 |
|
13 |
12 |
$118.13 |
| 73030 |
|
15 |
14 |
$103.68 |