| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,313 |
1,301 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
140 |
140 |
$5K |
| 93970 |
|
276 |
263 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
27 |
$654.84 |
| 93971 |
|
64 |
63 |
$563.01 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$453.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$108.48 |