| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
519 |
492 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
119 |
105 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
48 |
41 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
714 |
666 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
41 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
465 |
438 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
49 |
47 |
$3K |
| 72100 |
|
166 |
164 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$620.41 |
| 73610 |
|
26 |
26 |
$373.10 |
| 72040 |
|
29 |
26 |
$264.41 |
| 73130 |
|
28 |
28 |
$260.80 |
| 73630 |
|
24 |
24 |
$248.81 |
| 73030 |
|
13 |
13 |
$144.18 |