| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,578 |
2,376 |
$180K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
713 |
661 |
$26K |
| 70498 |
|
174 |
167 |
$18K |
| 70496 |
|
139 |
130 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
123 |
114 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
55 |
54 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
96 |
92 |
$5K |
| 72131 |
|
120 |
113 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
676 |
636 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
866 |
809 |
$4K |
| 70486 |
|
104 |
97 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
15 |
$1K |
| 70491 |
|
18 |
18 |
$948.28 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$412.72 |
| 76376 |
|
27 |
27 |
$68.38 |
| 74018 |
|
12 |
12 |
$66.48 |