| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
649 |
231 |
$186K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
540 |
236 |
$146K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
208 |
114 |
$57K |
| 73221 |
|
181 |
54 |
$51K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
52 |
24 |
$14K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,295 |
472 |
$215.04 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
29 |
29 |
$0.00 |