| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
141 |
140 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
40 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
165 |
149 |
$700.22 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
14 |
$660.49 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
84 |
$512.92 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$428.35 |