| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
691 |
638 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
51 |
50 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
40 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
153 |
152 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$556.86 |
| 73030 |
|
12 |
12 |
$109.86 |
| 73630 |
|
12 |
12 |
$78.23 |