| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
303 |
280 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
117 |
114 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
45 |
43 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
544 |
506 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
169 |
168 |
$905.88 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$358.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$197.82 |