| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
122 |
117 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,433 |
1,944 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
80 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
339 |
$2K |
| 70486 |
|
63 |
62 |
$2K |
| 73630 |
|
46 |
43 |
$526.61 |
| 73610 |
|
41 |
39 |
$412.47 |
| 73130 |
|
38 |
36 |
$396.12 |
| 73030 |
|
46 |
44 |
$345.81 |
| 99152 |
|
133 |
122 |
$274.83 |
| 76937 |
|
83 |
77 |
$274.19 |
| 73502 |
|
43 |
43 |
$249.93 |
| 73564 |
|
18 |
18 |
$210.29 |
| 73562 |
|
19 |
19 |
$166.45 |
| 72040 |
|
12 |
12 |
$135.09 |
| 77001 |
|
30 |
25 |
$88.38 |
| 73552 |
|
12 |
12 |
$49.95 |