| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
758 |
692 |
$44K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
370 |
345 |
$25K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
92 |
90 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
471 |
434 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
17 |
$653.09 |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
124 |
$646.65 |