| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
650 |
645 |
$21K |
| 71250 |
|
942 |
941 |
$16K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
378 |
375 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
248 |
215 |
$7K |
| 72141 |
|
149 |
148 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
154 |
151 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
751 |
744 |
$2K |
| 73221 |
|
87 |
84 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
198 |
198 |
$1K |
| 74178 |
|
128 |
128 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
141 |
141 |
$938.08 |
| 73562 |
|
143 |
94 |
$326.86 |
| 71270 |
|
12 |
12 |
$295.90 |
| 93880 |
|
12 |
12 |
$247.87 |
| 77080 |
|
326 |
326 |
$155.12 |
| 72100 |
|
53 |
53 |
$147.22 |
| 76536 |
|
38 |
38 |
$112.91 |
| 76770 |
|
16 |
16 |
$15.78 |