| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
235 |
227 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
494 |
485 |
$42K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
436 |
431 |
$34K |
| 71250 |
|
427 |
419 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
119 |
84 |
$20K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
84 |
79 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
386 |
379 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
60 |
58 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
309 |
303 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,698 |
1,376 |
$8K |
| 93971 |
|
162 |
123 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
738 |
718 |
$5K |
| 74183 |
|
14 |
14 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
59 |
56 |
$4K |
| 72100 |
|
203 |
203 |
$2K |
| 76830 |
Ultrasound, transvaginal |
37 |
37 |
$2K |
| 72141 |
|
14 |
12 |
$2K |
| 77080 |
|
45 |
44 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
26 |
$2K |
| 76536 |
|
48 |
48 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
807 |
753 |
$180.94 |
| 73630 |
|
33 |
25 |
$169.93 |
| 73030 |
|
12 |
12 |
$2.69 |