| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
258 |
254 |
$78K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,293 |
1,286 |
$34K |
| 72197 |
|
83 |
83 |
$27K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
43 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
52 |
52 |
$16K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
81 |
81 |
$15K |
| 74183 |
|
40 |
39 |
$15K |
| 73221 |
|
36 |
36 |
$9K |
| 77049 |
|
12 |
12 |
$4K |
| 76377 |
|
12 |
12 |
$606.43 |