| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
216 |
215 |
$14K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
160 |
159 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
876 |
800 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
624 |
621 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
28 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$772.26 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$409.18 |