| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
132 |
80 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,351 |
557 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
58 |
39 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
531 |
350 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
21 |
12 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
22 |
12 |
$1K |
| 74019 |
|
154 |
92 |
$1K |
| 74018 |
|
158 |
79 |
$894.09 |