| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
744 |
495 |
$85K |
| 76377 |
|
591 |
412 |
$25K |
| 72141 |
|
143 |
99 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
229 |
121 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
20 |
12 |
$3K |
| 73221 |
|
62 |
40 |
$468.92 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
30 |
27 |
$288.40 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
28 |
$286.88 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
328 |
298 |
$101.58 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
16 |
$79.81 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
12 |
$61.43 |