| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
341 |
341 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
125 |
124 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
179 |
173 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
42 |
$2K |
| 71250 |
|
44 |
44 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$785.74 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$782.40 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$686.30 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$373.37 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$119.41 |
| 73564 |
|
13 |
13 |
$116.72 |