| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
279 |
260 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
142 |
136 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
61 |
60 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
616 |
558 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
58 |
56 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$674.66 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
51 |
$479.01 |
| 74018 |
|
28 |
24 |
$125.96 |
| 73560 |
|
14 |
14 |
$112.44 |