| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
278 |
277 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
264 |
258 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
177 |
175 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
466 |
366 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
39 |
38 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
134 |
134 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 76536 |
|
39 |
39 |
$892.73 |
| 71250 |
|
26 |
25 |
$879.87 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$600.30 |
| 76770 |
|
12 |
12 |
$419.03 |
| 73610 |
|
42 |
41 |
$383.46 |
| 73030 |
|
28 |
28 |
$261.89 |
| 73130 |
|
12 |
12 |
$108.54 |