| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
514 |
469 |
$29K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
231 |
216 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
102 |
102 |
$5K |
| 70496 |
|
46 |
40 |
$3K |
| 70498 |
|
39 |
38 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
432 |
427 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
440 |
418 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$841.91 |