| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
3,070 |
2,984 |
$573K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
338 |
335 |
$121K |
| 93976 |
|
704 |
699 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,394 |
1,387 |
$101K |
| 76830 |
Ultrasound, transvaginal |
1,308 |
1,300 |
$97K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
309 |
288 |
$72K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
732 |
728 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
545 |
545 |
$51K |
| 73221 |
|
95 |
90 |
$34K |
| 99070 |
|
2,742 |
2,556 |
$22K |
| 71250 |
|
75 |
63 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
584 |
566 |
$14K |
| 76536 |
|
145 |
144 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$5K |
| 76770 |
|
53 |
53 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$3K |
| 72100 |
|
63 |
63 |
$2K |
| 73630 |
|
18 |
15 |
$472.35 |