| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
847 |
841 |
$73K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
420 |
313 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,838 |
1,825 |
$52K |
| 20553 |
|
2,805 |
2,737 |
$44K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
135 |
135 |
$16K |
| 64615 |
|
412 |
393 |
$8K |
| 64405 |
|
542 |
526 |
$8K |
| 64450 |
|
503 |
488 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$825.35 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
311 |
308 |
$486.53 |
| 76376 |
|
39 |
39 |
$438.63 |