| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
317 |
283 |
$19K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
147 |
142 |
$9K |
| 70496 |
|
12 |
12 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
229 |
171 |
$972.66 |
| 71046 |
Radiologic examination, chest; 2 views |
179 |
170 |
$909.96 |
| 93976 |
|
13 |
13 |
$238.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$169.40 |