| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
530 |
508 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
301 |
297 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
120 |
117 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
235 |
227 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,306 |
1,236 |
$5K |
| 73630 |
|
341 |
316 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
391 |
381 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
43 |
43 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 73700 |
|
38 |
38 |
$1K |
| 73610 |
|
94 |
91 |
$1K |
| 71250 |
|
39 |
39 |
$842.51 |
| 72100 |
|
65 |
65 |
$836.42 |
| 73130 |
|
66 |
65 |
$607.03 |
| 73562 |
|
50 |
45 |
$536.86 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$534.57 |
| 73030 |
|
46 |
45 |
$357.26 |
| 74018 |
|
76 |
75 |
$346.32 |
| 73080 |
|
13 |
12 |
$119.24 |