| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,249 |
1,054 |
$314K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,397 |
1,247 |
$289K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,094 |
938 |
$198K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
614 |
520 |
$121K |
| 72141 |
|
168 |
158 |
$35K |
| 73221 |
|
69 |
63 |
$14K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
723 |
300 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
94 |
53 |
$338.99 |