| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
968 |
923 |
$62K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
164 |
161 |
$28K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
56 |
55 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
554 |
532 |
$6K |
| 73564 |
|
232 |
216 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
68 |
67 |
$4K |
| 72100 |
|
147 |
144 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
518 |
499 |
$3K |
| 72141 |
|
12 |
12 |
$3K |
| 74018 |
|
210 |
194 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
61 |
60 |
$2K |
| 73110 |
|
58 |
45 |
$1K |
| 73502 |
|
81 |
79 |
$1K |
| 72050 |
|
42 |
41 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
30 |
$1K |
| 76770 |
|
12 |
12 |
$545.59 |
| 73610 |
|
17 |
16 |
$327.32 |
| 73560 |
|
13 |
12 |
$145.20 |