| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
82 |
76 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
538 |
475 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
60 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
159 |
155 |
$1K |
| 74018 |
|
164 |
148 |
$1K |
| 71010 |
|
51 |
51 |
$765.00 |
| 72100 |
|
53 |
53 |
$508.06 |
| 73610 |
|
35 |
35 |
$492.58 |
| 73030 |
|
49 |
41 |
$433.87 |
| 73630 |
|
35 |
33 |
$410.71 |
| 71020 |
|
19 |
19 |
$286.00 |
| 73110 |
|
29 |
27 |
$274.60 |