| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,150 |
955 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
7,814 |
6,183 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,141 |
1,578 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
690 |
646 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,313 |
1,502 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
106 |
84 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
220 |
190 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
44 |
40 |
$2K |
| 74018 |
|
300 |
249 |
$1K |
| 76775 |
|
98 |
83 |
$1K |
| 76642 |
|
47 |
40 |
$911.51 |
| 73630 |
|
152 |
127 |
$785.61 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
12 |
$762.64 |
| 73610 |
|
109 |
101 |
$640.89 |
| 73564 |
|
96 |
78 |
$591.89 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
12 |
$572.99 |
| 71250 |
|
27 |
14 |
$292.97 |
| 73130 |
|
29 |
26 |
$178.91 |
| 72100 |
|
17 |
15 |
$92.17 |
| 73110 |
|
14 |
13 |
$82.63 |