| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,094 |
1,880 |
$131K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
979 |
931 |
$74K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
602 |
539 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
108 |
107 |
$8K |
| 72100 |
|
455 |
436 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
39 |
$3K |
| 70486 |
|
97 |
80 |
$3K |
| 70496 |
|
27 |
26 |
$2K |
| 70491 |
|
42 |
36 |
$2K |
| 70498 |
|
12 |
12 |
$830.12 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
17 |
$811.15 |
| 76830 |
Ultrasound, transvaginal |
18 |
18 |
$587.18 |
| 76857 |
|
14 |
14 |
$440.80 |
| 71045 |
Radiologic examination, chest; single view |
102 |
89 |
$433.97 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$353.76 |
| 72072 |
|
24 |
24 |
$245.67 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$213.20 |
| 70355 |
|
15 |
15 |
$178.02 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
19 |
$111.53 |