| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
984 |
950 |
$30K |
| 76536 |
|
647 |
627 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
272 |
272 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
155 |
154 |
$7K |
| 76770 |
|
124 |
122 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
51 |
$4K |
| 76377 |
|
224 |
224 |
$3K |
| 76641 |
|
76 |
73 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
37 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$780.01 |
| 71250 |
|
15 |
15 |
$745.37 |
| 74178 |
|
13 |
13 |
$507.90 |
| 60300 |
|
16 |
14 |
$222.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
29 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
71 |
71 |
$0.00 |