| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,507 |
1,093 |
$311K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,628 |
1,190 |
$187K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,219 |
928 |
$141K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
844 |
584 |
$109K |
| 72141 |
|
426 |
315 |
$51K |
| 74183 |
|
119 |
98 |
$27K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,206 |
2,100 |
$15K |
| 73221 |
|
47 |
36 |
$5K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
435 |
427 |
$2K |