| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
343 |
338 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
181 |
181 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
92 |
92 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
851 |
794 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
542 |
539 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
46 |
$3K |
| 73221 |
|
30 |
30 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
31 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
26 |
$1K |
| 71250 |
|
12 |
12 |
$389.37 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$296.40 |