| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
269 |
265 |
$62K |
| 72141 |
|
108 |
108 |
$23K |
| 72110 |
|
234 |
232 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
247 |
235 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
51 |
48 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
33 |
29 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,056 |
752 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
532 |
430 |
$6K |
| 73030 |
|
207 |
199 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
56 |
$5K |
| 72100 |
|
154 |
151 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 74018 |
|
191 |
122 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
33 |
30 |
$775.36 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$605.99 |
| 72072 |
|
12 |
12 |
$480.60 |
| 73610 |
|
32 |
30 |
$443.61 |
| 73564 |
|
12 |
12 |
$183.71 |
| 73130 |
|
13 |
13 |
$144.83 |
| 99053 |
|
87 |
81 |
$0.00 |