| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
4,733 |
2,499 |
$920K |
| 74183 |
|
1,227 |
1,140 |
$341K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,466 |
1,454 |
$30K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
693 |
668 |
$19K |
| 76391 |
|
142 |
141 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
117 |
93 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
64 |
24 |
$10K |
| 72197 |
|
50 |
44 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
39 |
38 |
$7K |
| 99070 |
|
1,837 |
1,013 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
172 |
130 |
$241.76 |
| A4616 |
Tubing (oxygen), per foot |
55 |
54 |
$30.83 |