| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
966 |
888 |
$176K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,634 |
1,524 |
$87K |
| 71250 |
|
656 |
612 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
4,137 |
3,831 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
228 |
222 |
$31K |
| 72141 |
|
137 |
130 |
$28K |
| 72100 |
|
1,390 |
1,297 |
$24K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
120 |
118 |
$23K |
| 76536 |
|
500 |
452 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
148 |
143 |
$14K |
| 76770 |
|
298 |
276 |
$14K |
| 73560 |
|
750 |
572 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
52 |
39 |
$9K |
| 93971 |
|
205 |
183 |
$8K |
| 72040 |
|
492 |
438 |
$8K |
| 73030 |
|
424 |
373 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
25 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
690 |
655 |
$5K |
| 74183 |
|
15 |
14 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
116 |
101 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
154 |
139 |
$4K |
| 73630 |
|
194 |
164 |
$2K |
| 78264 |
|
13 |
13 |
$1K |
| 73610 |
|
104 |
86 |
$1K |
| 70486 |
|
15 |
15 |
$1K |
| 72070 |
|
70 |
66 |
$1K |
| 93970 |
|
13 |
13 |
$867.55 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$702.75 |
| 73130 |
|
22 |
15 |
$289.50 |
| 73502 |
|
16 |
15 |
$243.00 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
12 |
12 |
$24.32 |