| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
730 |
717 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
139 |
138 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
934 |
928 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
898 |
795 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
91 |
91 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
69 |
69 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
62 |
62 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$1K |
| 71271 |
|
22 |
22 |
$961.17 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$595.89 |
| 71250 |
|
13 |
13 |
$539.46 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18 |
18 |
$473.07 |
| 74018 |
|
12 |
12 |
$97.32 |