| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
514 |
514 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
197 |
193 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
923 |
920 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
605 |
599 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
51 |
38 |
$2K |
| 73221 |
|
15 |
13 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
129 |
129 |
$2K |
| 71250 |
|
55 |
55 |
$1K |
| 74178 |
|
38 |
38 |
$376.03 |
| 73562 |
|
39 |
26 |
$181.38 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
12 |
12 |
$20.07 |