| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
208 |
59 |
$71K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
190 |
132 |
$55K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
159 |
101 |
$47K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,729 |
621 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
24 |
$8K |
| 72141 |
|
15 |
14 |
$5K |