| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
581 |
551 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
255 |
245 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,811 |
1,555 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
872 |
813 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$730.64 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
16 |
$606.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$233.45 |