| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
934 |
870 |
$31K |
| 72100 |
|
1,063 |
1,060 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
123 |
123 |
$8K |
| 72141 |
|
105 |
105 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
91 |
90 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
80 |
$5K |
| 72050 |
|
98 |
98 |
$2K |
| 72070 |
|
73 |
73 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
99 |
94 |
$644.10 |
| 72110 |
|
26 |
26 |
$457.11 |
| 72040 |
|
12 |
12 |
$193.60 |