| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,254 |
1,148 |
$83K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
841 |
804 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
2,346 |
1,976 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,293 |
1,173 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
38 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
97 |
95 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
72 |
71 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
37 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
15 |
$805.21 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$638.52 |
| 73630 |
|
59 |
53 |
$555.26 |
| 74018 |
|
58 |
52 |
$193.76 |
| 73610 |
|
14 |
13 |
$174.02 |
| 73564 |
|
13 |
13 |
$131.58 |
| 73130 |
|
12 |
12 |
$111.31 |