| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,542 |
2,610 |
$507K |
| 72141 |
|
3,048 |
1,726 |
$328K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,199 |
1,095 |
$257K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,755 |
1,043 |
$234K |
| 73221 |
|
1,207 |
639 |
$144K |
| 70486 |
|
1,086 |
1,076 |
$136K |
| 72146 |
|
1,118 |
620 |
$117K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
410 |
249 |
$85K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
852 |
849 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
456 |
443 |
$43K |
| 76830 |
Ultrasound, transvaginal |
613 |
611 |
$40K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
245 |
245 |
$39K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
469 |
466 |
$36K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
493 |
489 |
$27K |
| 93975 |
|
126 |
126 |
$23K |
| 72100 |
|
694 |
686 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
766 |
763 |
$19K |
| 76770 |
|
155 |
155 |
$11K |
| 76377 |
|
374 |
359 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
115 |
109 |
$7K |
| 76536 |
|
129 |
129 |
$7K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
620 |
595 |
$7K |
| 73030 |
|
250 |
210 |
$6K |
| 71250 |
|
44 |
44 |
$5K |
| 72040 |
|
183 |
183 |
$4K |
| 73718 |
|
19 |
14 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 93976 |
|
14 |
14 |
$2K |
| 73630 |
|
87 |
66 |
$2K |
| 73562 |
|
84 |
65 |
$2K |
| 76801 |
|
25 |
25 |
$2K |
| 73502 |
|
48 |
38 |
$2K |
| 72114 |
|
25 |
25 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
67 |
62 |
$1K |
| 73560 |
|
42 |
25 |
$697.09 |
| 72070 |
|
27 |
27 |
$501.89 |
| 77080 |
|
16 |
16 |
$408.10 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
51 |
47 |
$33.76 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
109 |
102 |
$12.06 |