| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
194 |
192 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
270 |
262 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
117 |
116 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
431 |
424 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
513 |
475 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
49 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
55 |
53 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
54 |
52 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
14 |
$811.52 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$410.64 |
| 71250 |
|
13 |
13 |
$341.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$333.32 |
| 74018 |
|
12 |
12 |
$83.16 |