| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
364 |
330 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
82 |
82 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
52 |
51 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
29 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
320 |
299 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
39 |
38 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
168 |
163 |
$1K |