| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72141 |
|
123 |
122 |
$24K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
89 |
88 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
87 |
83 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
192 |
171 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
630 |
437 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
42 |
$4K |
| 70544 |
|
13 |
13 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
182 |
153 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$1K |
| 76937 |
|
31 |
27 |
$462.50 |
| 99053 |
|
55 |
51 |
$0.00 |