| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
311 |
259 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
366 |
328 |
$19K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
119 |
83 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,193 |
969 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
42 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
319 |
281 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$1K |
| 71010 |
|
265 |
229 |
$792.90 |
| 71020 |
|
157 |
152 |
$650.75 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$619.88 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
18 |
12 |
$546.00 |
| 74018 |
|
35 |
29 |
$255.07 |
| 73130 |
|
13 |
12 |
$106.59 |