| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
609 |
576 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
167 |
152 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
158 |
139 |
$12K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
161 |
157 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
61 |
61 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
72 |
72 |
$3K |
| 70496 |
|
28 |
28 |
$2K |
| 72141 |
|
30 |
30 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
443 |
404 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
208 |
194 |
$1K |
| 76830 |
Ultrasound, transvaginal |
37 |
35 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
50 |
43 |
$1K |
| 70498 |
|
16 |
16 |
$1K |
| 93975 |
|
24 |
23 |
$814.11 |
| 93976 |
|
33 |
28 |
$797.61 |
| 76770 |
|
25 |
25 |
$759.92 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
20 |
16 |
$670.33 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$573.22 |
| 73564 |
|
21 |
18 |
$231.31 |
| 74018 |
|
18 |
17 |
$83.10 |