| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
206 |
206 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,116 |
974 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
78 |
78 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
616 |
612 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$2K |
| 73221 |
|
25 |
25 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
37 |
37 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$725.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
34 |
34 |
$717.60 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$365.93 |