| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,762 |
1,270 |
$149K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,027 |
818 |
$42K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
693 |
449 |
$25K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
315 |
180 |
$2K |
| 72141 |
|
311 |
179 |
$2K |
| 73221 |
|
31 |
24 |
$50.56 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
290 |
255 |
$40.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
239 |
113 |
$0.12 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
52 |
37 |
$0.00 |
| 82565 |
|
161 |
89 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
535 |
243 |
$0.00 |
| 94761 |
|
257 |
115 |
$0.00 |
| 74183 |
|
25 |
14 |
$0.00 |