| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
456 |
442 |
$32K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
381 |
368 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
269 |
263 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
179 |
176 |
$11K |
| 72141 |
|
108 |
105 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,054 |
945 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
81 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
61 |
61 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
218 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
54 |
$959.40 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$738.49 |
| 73630 |
|
28 |
25 |
$229.05 |
| 73030 |
|
22 |
22 |
$197.55 |
| 73610 |
|
14 |
14 |
$173.85 |
| 73560 |
|
12 |
12 |
$91.34 |
| 74018 |
|
13 |
13 |
$49.86 |