| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
827 |
760 |
$52K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
206 |
204 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
210 |
204 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,152 |
1,780 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,202 |
1,136 |
$7K |
| 74183 |
|
13 |
13 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
27 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$1K |
| 73630 |
|
55 |
45 |
$669.92 |
| 73610 |
|
31 |
25 |
$545.30 |
| 74018 |
|
123 |
109 |
$529.80 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$473.64 |
| 72100 |
|
12 |
12 |
$145.70 |