| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
243 |
220 |
$7K |
| 72100 |
|
157 |
157 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
88 |
87 |
$5K |
| 72040 |
|
54 |
53 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
29 |
$752.24 |
| 73564 |
|
18 |
12 |
$616.81 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$544.09 |
| 74018 |
|
12 |
12 |
$334.44 |
| 72141 |
|
12 |
12 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$0.00 |