| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
640 |
605 |
$215K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
70 |
63 |
$11K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
183 |
177 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
374 |
365 |
$0.00 |