| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
651 |
463 |
$99K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
267 |
202 |
$52K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
25 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
588 |
476 |
$8K |
| 72141 |
|
56 |
39 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
37 |
30 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
90 |
83 |
$8K |
| 74018 |
|
163 |
146 |
$3K |
| 76376 |
|
81 |
68 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
13 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
62 |
56 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
227 |
225 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
19 |
17 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
26 |
$1K |
| 76642 |
|
19 |
13 |
$1K |
| 71250 |
|
16 |
12 |
$959.76 |
| 76536 |
|
14 |
13 |
$739.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
212 |
146 |
$650.87 |
| 73562 |
|
38 |
25 |
$533.25 |
| 72100 |
|
24 |
21 |
$381.09 |
| 73630 |
|
19 |
13 |
$341.69 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
14 |
12 |
$0.00 |