| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
167 |
166 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
156 |
156 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
122 |
120 |
$8K |
| 93976 |
|
71 |
71 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
320 |
317 |
$3K |
| 75574 |
|
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$724.44 |
| 71045 |
Radiologic examination, chest; single view |
76 |
59 |
$470.88 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$420.71 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$381.65 |