| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
585 |
532 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
190 |
179 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
612 |
550 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
436 |
415 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,272 |
1,175 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,824 |
1,519 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
86 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
14 |
13 |
$849.16 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
14 |
$440.13 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
15 |
$439.12 |
| 70498 |
|
12 |
12 |
$425.86 |
| 74018 |
|
107 |
81 |
$425.03 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$342.86 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$319.76 |
| 73030 |
|
32 |
27 |
$156.32 |
| 73130 |
|
28 |
26 |
$151.82 |
| 73630 |
|
32 |
29 |
$136.60 |
| 73610 |
|
25 |
24 |
$98.99 |
| 73562 |
|
20 |
15 |
$82.46 |