| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,296 |
3,897 |
$250K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,456 |
1,401 |
$101K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,085 |
1,039 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
658 |
619 |
$29K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
430 |
420 |
$29K |
| 70496 |
|
350 |
315 |
$28K |
| 70498 |
|
316 |
279 |
$25K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
859 |
774 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,715 |
2,368 |
$11K |
| 72141 |
|
135 |
132 |
$10K |
| 72131 |
|
306 |
279 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
32 |
28 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
86 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
573 |
520 |
$3K |
| 70486 |
|
100 |
97 |
$3K |
| 70491 |
|
72 |
68 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$314.46 |
| 73630 |
|
31 |
28 |
$306.45 |
| 73130 |
|
26 |
24 |
$253.95 |
| 74018 |
|
48 |
44 |
$192.43 |