| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
916 |
903 |
$52K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
543 |
542 |
$33K |
| 72141 |
|
400 |
398 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
722 |
698 |
$4K |
| 73630 |
|
514 |
504 |
$4K |
| 73221 |
|
52 |
52 |
$3K |
| 73610 |
|
221 |
210 |
$2K |
| 72100 |
|
178 |
173 |
$2K |
| 73130 |
|
160 |
158 |
$2K |
| 73030 |
|
86 |
83 |
$722.43 |
| 73560 |
|
85 |
83 |
$665.97 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$591.52 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$569.02 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$364.65 |
| 73590 |
|
26 |
26 |
$196.59 |
| 73502 |
|
24 |
24 |
$175.90 |
| 72050 |
|
12 |
12 |
$132.01 |
| 73564 |
|
13 |
13 |
$125.49 |