| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,354 |
1,287 |
$94K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,097 |
1,072 |
$54K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
391 |
387 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
300 |
292 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,641 |
1,465 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
144 |
142 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
69 |
66 |
$5K |
| 70496 |
|
43 |
38 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
52 |
51 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
46 |
46 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
344 |
324 |
$2K |
| 70498 |
|
17 |
13 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
68 |
$1K |
| 70486 |
|
12 |
12 |
$475.97 |
| 74018 |
|
68 |
62 |
$370.97 |
| 73630 |
|
29 |
29 |
$291.89 |
| 73030 |
|
24 |
22 |
$259.29 |
| 73130 |
|
16 |
16 |
$158.88 |