| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
209 |
207 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
68 |
68 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
74 |
71 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
801 |
729 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
55 |
54 |
$3K |
| 72141 |
|
30 |
29 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
196 |
194 |
$1K |
| 73030 |
|
56 |
52 |
$548.57 |
| 73130 |
|
55 |
55 |
$547.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$404.32 |
| 73630 |
|
38 |
37 |
$379.96 |
| 73610 |
|
15 |
14 |
$189.87 |
| 74018 |
|
26 |
26 |
$121.88 |