| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
796 |
622 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
88 |
86 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
446 |
325 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
19 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
163 |
160 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 73502 |
|
28 |
28 |
$1K |
| 74018 |
|
72 |
59 |
$754.05 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
16 |
12 |
$339.66 |
| 99053 |
|
30 |
29 |
$0.00 |