| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
125 |
102 |
$29K |
| 76377 |
|
330 |
276 |
$19K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
37 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$890.74 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
32 |
27 |
$69.32 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
222 |
192 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
93 |
75 |
$0.00 |