| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
664 |
609 |
$49K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
399 |
363 |
$26K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
264 |
257 |
$14K |
| 72141 |
|
211 |
193 |
$13K |
| 76770 |
|
190 |
189 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
75 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
136 |
136 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
566 |
537 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
407 |
396 |
$2K |
| 73030 |
|
191 |
174 |
$2K |
| 72156 |
|
19 |
14 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
64 |
64 |
$2K |
| 72158 |
|
13 |
13 |
$794.16 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$555.94 |
| 76536 |
|
18 |
18 |
$545.75 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$516.87 |
| 73630 |
|
28 |
28 |
$262.62 |
| 73610 |
|
12 |
12 |
$159.49 |
| 72100 |
|
13 |
13 |
$125.39 |