| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,034 |
1,796 |
$544K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
753 |
669 |
$208K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
317 |
268 |
$151K |
| 72141 |
|
401 |
348 |
$99K |
| 73221 |
|
427 |
354 |
$97K |
| 76830 |
Ultrasound, transvaginal |
346 |
334 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
311 |
288 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
79 |
77 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
21 |
14 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,680 |
1,431 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
353 |
307 |
$1K |
| 73040 |
|
12 |
12 |
$978.45 |
| 76770 |
|
15 |
14 |
$849.01 |
| 76536 |
|
13 |
12 |
$743.03 |
| 23350 |
|
12 |
12 |
$542.13 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
15 |
15 |
$14.05 |