| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,099 |
3,574 |
$229K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
839 |
799 |
$64K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
910 |
828 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
294 |
281 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,966 |
3,210 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,028 |
1,879 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
256 |
246 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
256 |
246 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
117 |
112 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
36 |
$3K |
| 70498 |
|
31 |
26 |
$2K |
| 70496 |
|
30 |
25 |
$2K |
| 72131 |
|
56 |
53 |
$2K |
| 72141 |
|
12 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
36 |
$1K |
| 72100 |
|
53 |
52 |
$639.33 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
13 |
$315.86 |
| 73630 |
|
28 |
24 |
$244.58 |
| 77080 |
|
27 |
27 |
$232.73 |
| 73030 |
|
13 |
13 |
$116.76 |
| 74018 |
|
30 |
27 |
$113.04 |