| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,525 |
1,246 |
$208K |
| 72141 |
|
205 |
184 |
$29K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
93 |
75 |
$21K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
150 |
110 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
64 |
52 |
$9K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
169 |
110 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
18 |
15 |
$763.39 |