| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
179 |
160 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
1,382 |
1,370 |
$15K |
| 73562 |
|
183 |
144 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$2K |
| 73030 |
|
31 |
26 |
$522.53 |
| 73630 |
|
55 |
37 |
$332.77 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
68 |
56 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
54 |
54 |
$0.00 |