| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
335 |
332 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
959 |
658 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
30 |
29 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
37 |
37 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
65 |
56 |
$583.17 |
| 74018 |
|
38 |
25 |
$483.48 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
19 |
12 |
$235.49 |