| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,301 |
3,998 |
$521K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,073 |
2,784 |
$425K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,215 |
1,118 |
$266K |
| 72141 |
|
1,352 |
1,243 |
$163K |
| 73221 |
|
829 |
743 |
$96K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
246 |
233 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
311 |
293 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
299 |
281 |
$14K |
| 71250 |
|
166 |
154 |
$10K |
| 71271 |
|
78 |
57 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
751 |
692 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
994 |
919 |
$7K |
| 72146 |
|
41 |
38 |
$5K |
| 70486 |
|
87 |
76 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,759 |
2,075 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$3K |
| 72100 |
|
134 |
132 |
$2K |
| 72110 |
|
45 |
42 |
$1K |
| 77002 |
|
14 |
12 |
$649.28 |
| 73564 |
|
49 |
36 |
$415.07 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
54 |
38 |
$227.28 |
| 73030 |
|
29 |
24 |
$215.93 |
| 74018 |
|
132 |
113 |
$92.87 |
| 73502 |
|
14 |
14 |
$80.64 |
| 73562 |
|
14 |
12 |
$74.44 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$0.00 |
| 82565 |
|
30 |
30 |
$0.00 |
| A4550 |
Surgical trays |
13 |
12 |
$0.00 |
| 84520 |
|
29 |
29 |
$0.00 |