| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
561 |
510 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
3,371 |
3,112 |
$74K |
| 76830 |
Ultrasound, transvaginal |
532 |
488 |
$61K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
674 |
596 |
$46K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
109 |
92 |
$33K |
| 72100 |
|
751 |
697 |
$24K |
| 71250 |
|
265 |
240 |
$22K |
| 76536 |
|
220 |
204 |
$19K |
| 73030 |
|
516 |
437 |
$14K |
| 73564 |
|
390 |
284 |
$13K |
| 74018 |
|
441 |
422 |
$12K |
| 73502 |
|
292 |
267 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
56 |
43 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,258 |
1,062 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
74 |
67 |
$7K |
| 72110 |
|
195 |
165 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
30 |
27 |
$6K |
| 73130 |
|
169 |
106 |
$5K |
| 73630 |
|
161 |
129 |
$4K |
| 73562 |
|
108 |
81 |
$4K |
| 73560 |
|
157 |
94 |
$3K |
| 72141 |
|
14 |
13 |
$3K |
| 72040 |
|
87 |
76 |
$3K |
| 73522 |
|
53 |
50 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
719 |
640 |
$2K |
| 76770 |
|
30 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 73110 |
|
36 |
18 |
$945.38 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
167 |
129 |
$936.09 |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
14 |
$836.90 |
| 72070 |
|
25 |
24 |
$560.09 |
| 73610 |
|
15 |
12 |
$434.98 |