| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77012 |
|
795 |
565 |
$97K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
596 |
390 |
$42K |
| 74178 |
|
97 |
59 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
90 |
61 |
$17K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
358 |
221 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
187 |
144 |
$7K |
| 60100 |
|
197 |
96 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
32 |
24 |
$6K |
| 99201 |
|
506 |
482 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
14 |
$2K |
| 76377 |
|
25 |
12 |
$1K |