| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,237 |
1,191 |
$93K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
550 |
528 |
$51K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,313 |
1,218 |
$34K |
| 72141 |
|
289 |
275 |
$22K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
152 |
152 |
$22K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
74 |
74 |
$6K |
| 73221 |
|
56 |
53 |
$5K |