| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
587 |
467 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
513 |
440 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
2,851 |
2,393 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
3,171 |
2,481 |
$26K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
31 |
28 |
$5K |
| 71020 |
|
358 |
274 |
$3K |
| 71010 |
|
223 |
168 |
$3K |
| 74018 |
|
367 |
269 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
41 |
25 |
$2K |
| 73610 |
|
55 |
42 |
$637.18 |
| 73630 |
|
63 |
49 |
$612.61 |
| 73130 |
|
30 |
25 |
$324.04 |
| 72100 |
|
15 |
13 |
$119.97 |
| 73562 |
|
21 |
14 |
$117.03 |