| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
69 |
53 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
201 |
199 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
32 |
32 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$914.78 |
| 72100 |
|
45 |
45 |
$569.93 |
| 71045 |
Radiologic examination, chest; single view |
110 |
103 |
$492.32 |