| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,405 |
1,309 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
5,627 |
4,446 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
504 |
487 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
407 |
390 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,905 |
1,815 |
$11K |
| 74018 |
|
1,484 |
1,143 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
87 |
$2K |
| 73630 |
|
139 |
107 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$914.90 |
| 73610 |
|
55 |
51 |
$776.74 |
| 76801 |
|
12 |
12 |
$371.04 |
| 74230 |
|
12 |
12 |
$346.47 |
| 72110 |
|
13 |
13 |
$216.03 |
| 72100 |
|
16 |
16 |
$169.90 |
| 73130 |
|
13 |
13 |
$139.02 |
| 77072 |
|
12 |
12 |
$105.72 |