| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
525 |
520 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
143 |
142 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
92 |
92 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
548 |
544 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
695 |
631 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
55 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
27 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$924.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$689.12 |
| 71271 |
|
12 |
12 |
$549.24 |
| 71250 |
|
13 |
13 |
$346.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$341.14 |