| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
615 |
335 |
$70K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
317 |
317 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
594 |
594 |
$17K |
| 76830 |
Ultrasound, transvaginal |
114 |
114 |
$10K |
| 73562 |
|
265 |
224 |
$7K |
| 76857 |
|
113 |
113 |
$6K |
| 76770 |
|
55 |
55 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
22 |
12 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
14 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
34 |
34 |
$3K |
| 72110 |
|
55 |
55 |
$3K |
| 73630 |
|
68 |
60 |
$2K |
| 76536 |
|
13 |
13 |
$974.26 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
308 |
308 |
$408.77 |
| 73030 |
|
18 |
14 |
$322.61 |