| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
737 |
686 |
$43K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
472 |
439 |
$41K |
| 72100 |
|
293 |
291 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
42 |
40 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
60 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
120 |
120 |
$730.81 |
| 70486 |
|
12 |
12 |
$525.88 |
| 71045 |
Radiologic examination, chest; single view |
82 |
71 |
$384.69 |