| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
974 |
934 |
$375K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
299 |
292 |
$61K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
142 |
123 |
$30K |
| 71250 |
|
137 |
135 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,303 |
1,252 |
$9K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,169 |
1,120 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
39 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
67 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
71 |
67 |
$5K |
| 72141 |
|
13 |
13 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
13 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
145 |
137 |
$272.18 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
57 |
40 |
$230.60 |