| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,123 |
1,100 |
$162K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
315 |
309 |
$55K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
202 |
194 |
$43K |
| 72141 |
|
210 |
205 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
152 |
145 |
$30K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
746 |
711 |
$18K |
| 73221 |
|
72 |
70 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,126 |
1,032 |
$9K |
| 71271 |
|
28 |
25 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$2K |
| 71250 |
|
25 |
24 |
$2K |
| 82565 |
|
382 |
364 |
$1K |