| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,412 |
1,291 |
$509K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,293 |
1,117 |
$251K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
858 |
779 |
$219K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,132 |
1,124 |
$122K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
3,612 |
3,292 |
$97K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
324 |
287 |
$59K |
| 72141 |
|
199 |
176 |
$49K |
| 73221 |
|
208 |
183 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
601 |
573 |
$14K |
| 76536 |
|
203 |
196 |
$13K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
12 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
675 |
567 |
$4K |
| 93975 |
|
14 |
14 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
50 |
50 |
$3K |
| 76642 |
|
48 |
37 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
12 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
34 |
31 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$952.05 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$932.40 |
| 76770 |
|
12 |
12 |
$806.22 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
15 |
12 |
$647.00 |
| 72110 |
|
16 |
15 |
$582.41 |
| 72050 |
|
12 |
12 |
$315.04 |
| 82565 |
|
42 |
40 |
$91.48 |