| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,855 |
1,683 |
$119K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
542 |
520 |
$50K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
336 |
334 |
$31K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
199 |
180 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
831 |
794 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,032 |
875 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
54 |
50 |
$4K |
| 72110 |
|
132 |
128 |
$2K |
| 73630 |
|
203 |
187 |
$2K |
| 73610 |
|
103 |
102 |
$1K |
| 74018 |
|
271 |
248 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 72100 |
|
106 |
99 |
$1K |
| 70486 |
|
31 |
27 |
$860.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$479.21 |
| 73130 |
|
52 |
49 |
$475.58 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$438.77 |
| 73140 |
|
39 |
39 |
$279.63 |
| 72050 |
|
13 |
13 |
$224.88 |
| 73564 |
|
13 |
12 |
$168.56 |
| 72072 |
|
14 |
14 |
$146.58 |
| 76376 |
|
27 |
27 |
$129.78 |
| 73560 |
|
12 |
12 |
$101.28 |