| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
286 |
248 |
$91K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
230 |
185 |
$59K |
| 72141 |
|
71 |
59 |
$19K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
13 |
$9K |
| 73221 |
|
12 |
12 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$1K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
58 |
55 |
$939.29 |