| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
424 |
421 |
$146K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
243 |
240 |
$73K |
| 72141 |
|
86 |
86 |
$30K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
45 |
42 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
32 |
32 |
$12K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
12 |
12 |
$35.93 |