| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
91 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
173 |
161 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
919 |
677 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
368 |
305 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |
| 71020 |
|
205 |
183 |
$711.53 |
| 71010 |
|
157 |
142 |
$433.90 |
| 73630 |
|
30 |
28 |
$336.00 |
| 73610 |
|
12 |
12 |
$172.00 |