| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
47 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
103 |
103 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
109 |
109 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
69 |
31 |
$7K |
| 73221 |
|
68 |
31 |
$7K |
| 76830 |
Ultrasound, transvaginal |
62 |
62 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
99 |
98 |
$3K |
| 72110 |
|
56 |
55 |
$2K |
| 72141 |
|
24 |
12 |
$2K |
| 73030 |
|
57 |
57 |
$2K |
| 72100 |
|
42 |
42 |
$1K |
| 72050 |
|
29 |
29 |
$1K |
| 72072 |
|
34 |
34 |
$1K |
| 73630 |
|
33 |
33 |
$920.36 |
| 73564 |
|
20 |
19 |
$831.00 |
| 73560 |
|
17 |
16 |
$361.38 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
14 |
14 |
$295.25 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
15 |
$162.61 |