| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
517 |
499 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
309 |
285 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
2,318 |
2,063 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,329 |
1,252 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
124 |
114 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
40 |
40 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
15 |
$865.00 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$650.90 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
13 |
$466.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$313.84 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$244.86 |
| 74018 |
|
81 |
74 |
$141.00 |