| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
371 |
348 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
159 |
147 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
17 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
16 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
231 |
193 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
15 |
$901.04 |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
121 |
$813.70 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$556.62 |
| 73630 |
|
38 |
38 |
$379.87 |
| 73610 |
|
18 |
16 |
$220.45 |
| 73130 |
|
15 |
15 |
$158.88 |
| 74018 |
|
14 |
12 |
$49.86 |