| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
73 |
72 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
45 |
45 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
43 |
$2K |
| 70498 |
|
29 |
27 |
$2K |
| 70496 |
|
24 |
23 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
23 |
23 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
21 |
21 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
75 |
69 |
$342.77 |