| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
588 |
542 |
$36K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
373 |
363 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
45 |
45 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
362 |
354 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
361 |
331 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$1K |