| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
662 |
652 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
128 |
128 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,362 |
1,078 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
426 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
37 |
37 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
15 |
$822.45 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$644.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$385.00 |