| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
334 |
317 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
1,584 |
880 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,513 |
1,445 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
83 |
82 |
$13K |
| 76770 |
|
340 |
330 |
$12K |
| 74018 |
|
1,217 |
1,023 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
306 |
286 |
$7K |
| 77072 |
|
503 |
489 |
$5K |
| 73630 |
|
398 |
364 |
$5K |
| 73610 |
|
388 |
360 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
61 |
60 |
$3K |
| 73130 |
|
227 |
206 |
$2K |
| 73110 |
|
165 |
144 |
$2K |
| 72082 |
|
99 |
98 |
$1K |
| 74230 |
|
43 |
42 |
$1K |
| 73090 |
|
109 |
81 |
$851.82 |
| 73070 |
|
107 |
91 |
$782.96 |
| 70360 |
|
59 |
59 |
$618.50 |
| 76506 |
|
15 |
15 |
$606.65 |
| 73140 |
|
52 |
50 |
$464.50 |
| 72170 |
|
28 |
27 |
$350.04 |
| 77073 |
|
15 |
15 |
$280.08 |
| 73562 |
|
19 |
13 |
$224.20 |
| 73030 |
|
13 |
13 |
$137.13 |
| 73560 |
|
18 |
14 |
$111.75 |