| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,079 |
1,060 |
$141K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,204 |
1,161 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
1,178 |
1,050 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
150 |
147 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
693 |
691 |
$12K |
| 74018 |
|
630 |
579 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
101 |
100 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
38 |
$3K |
| 76140 |
|
132 |
110 |
$1K |
| 73090 |
|
80 |
79 |
$1K |
| 73610 |
|
54 |
54 |
$803.05 |
| 74019 |
|
27 |
26 |
$479.33 |
| 73630 |
|
24 |
24 |
$296.32 |
| 72040 |
|
13 |
13 |
$226.66 |
| 73110 |
|
13 |
13 |
$198.56 |