| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
154 |
148 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
159 |
152 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
104 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
24 |
24 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
206 |
191 |
$953.29 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$946.64 |
| 72141 |
|
13 |
13 |
$850.76 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
40 |
$234.87 |
| 73564 |
|
17 |
15 |
$176.81 |
| 73560 |
|
13 |
12 |
$168.16 |