| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,877 |
1,873 |
$115K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,498 |
2,492 |
$106K |
| 71250 |
|
1,738 |
1,738 |
$83K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,336 |
1,336 |
$77K |
| 76536 |
|
1,610 |
1,610 |
$63K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
661 |
660 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
3,196 |
3,193 |
$42K |
| 73562 |
|
1,502 |
993 |
$24K |
| 72110 |
|
879 |
879 |
$17K |
| 72141 |
|
276 |
276 |
$15K |
| 93976 |
|
167 |
167 |
$10K |
| 76775 |
|
636 |
635 |
$9K |
| 72050 |
|
313 |
313 |
$6K |
| 74183 |
|
75 |
75 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
125 |
125 |
$5K |
| 74178 |
|
43 |
43 |
$3K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
855 |
846 |
$3K |
| 70544 |
|
39 |
39 |
$3K |
| 76770 |
|
58 |
58 |
$2K |
| 73630 |
|
161 |
118 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$732.67 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$726.95 |
| 73221 |
|
12 |
12 |
$592.39 |
| 70486 |
|
12 |
12 |
$537.44 |
| 76641 |
|
15 |
12 |
$390.14 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$339.11 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$334.51 |
| 73610 |
|
17 |
13 |
$202.07 |
| 73030 |
|
21 |
19 |
$159.99 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
56 |
55 |
$71.15 |
| 99072 |
|
374 |
368 |
$0.00 |