| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
597 |
581 |
$39K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
371 |
351 |
$29K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
157 |
155 |
$18K |
| 72141 |
|
124 |
124 |
$9K |
| 72110 |
|
32 |
32 |
$972.18 |
| 70450 |
Computed tomography, head or brain; without contrast material |
31 |
29 |
$926.19 |
| 72146 |
|
13 |
13 |
$920.37 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
115 |
113 |
$15.00 |