| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
558 |
533 |
$95K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
475 |
475 |
$67K |
| 73221 |
|
256 |
243 |
$42K |
| 72141 |
|
299 |
299 |
$41K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
89 |
89 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
39 |
39 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
174 |
172 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
221 |
220 |
$90.30 |