| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,170 |
2,025 |
$138K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
684 |
655 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
2,319 |
2,099 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,139 |
1,077 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
85 |
78 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
72 |
68 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 73630 |
|
25 |
13 |
$422.67 |