| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,108 |
1,954 |
$115K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
451 |
435 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
704 |
665 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
423 |
400 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
4,575 |
3,665 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
3,076 |
2,877 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
95 |
91 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
49 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
126 |
123 |
$5K |
| 72100 |
|
258 |
248 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
69 |
$2K |
| 73630 |
|
207 |
182 |
$2K |
| 73564 |
|
162 |
144 |
$2K |
| 72141 |
|
25 |
24 |
$2K |
| 73030 |
|
145 |
133 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
71 |
67 |
$1K |
| 72110 |
|
28 |
25 |
$463.24 |
| 70486 |
|
15 |
14 |
$457.64 |
| 73610 |
|
37 |
37 |
$440.64 |
| 93970 |
|
14 |
13 |
$265.26 |
| 73110 |
|
12 |
12 |
$133.20 |
| 77080 |
|
13 |
13 |
$111.59 |
| 93971 |
|
18 |
14 |
$96.93 |
| 74018 |
|
28 |
24 |
$71.53 |