| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,142 |
1,048 |
$314K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
138 |
126 |
$29K |
| 72141 |
|
84 |
76 |
$19K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
39 |
$14K |
| 76830 |
Ultrasound, transvaginal |
47 |
37 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
38 |
$3K |
| 76376 |
|
61 |
37 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
64 |
60 |
$124.76 |