| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,603 |
1,599 |
$290K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,521 |
1,509 |
$288K |
| 72141 |
|
635 |
631 |
$112K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,832 |
2,566 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,039 |
1,031 |
$43K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
162 |
155 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
2,890 |
2,514 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
395 |
393 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
718 |
716 |
$5K |
| 70496 |
|
89 |
81 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
92 |
90 |
$3K |
| 70498 |
|
68 |
66 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
93 |
92 |
$2K |
| 71250 |
|
86 |
85 |
$1K |
| 73562 |
|
213 |
150 |
$940.73 |
| 70486 |
|
40 |
37 |
$798.92 |
| 73030 |
|
144 |
125 |
$658.59 |
| 73130 |
|
87 |
71 |
$436.89 |
| 73630 |
|
110 |
84 |
$382.76 |
| 73610 |
|
29 |
24 |
$123.10 |
| 73502 |
|
25 |
25 |
$71.11 |
| 73110 |
|
14 |
12 |
$65.34 |