| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
668 |
666 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
75 |
74 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
63 |
63 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
105 |
104 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
352 |
305 |
$2K |
| 72141 |
|
12 |
12 |
$797.88 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$710.77 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$693.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$431.10 |
| 71250 |
|
12 |
12 |
$419.77 |
| 76770 |
|
12 |
12 |
$364.61 |