| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
444 |
422 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
226 |
226 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,265 |
1,064 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
26 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
250 |
244 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
13 |
$843.12 |
| 72100 |
|
13 |
13 |
$174.45 |