| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
700 |
663 |
$44K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
165 |
164 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
75 |
74 |
$5K |
| 72141 |
|
41 |
41 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
85 |
85 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
38 |
37 |
$3K |
| 70486 |
|
28 |
28 |
$1K |
| 72100 |
|
70 |
67 |
$817.96 |
| 93971 |
|
80 |
80 |
$742.07 |
| 70491 |
|
14 |
14 |
$602.34 |
| 76536 |
|
14 |
14 |
$447.53 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
22 |
22 |
$425.33 |
| 72110 |
|
26 |
26 |
$377.62 |
| 72131 |
|
12 |
12 |
$347.52 |
| 93976 |
|
13 |
13 |
$314.21 |
| 71045 |
Radiologic examination, chest; single view |
56 |
56 |
$209.85 |
| 72040 |
|
13 |
13 |
$107.41 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$96.48 |