| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,300 |
1,183 |
$354K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
737 |
630 |
$140K |
| 72141 |
|
407 |
373 |
$118K |
| 73221 |
|
137 |
123 |
$25K |
| 76830 |
Ultrasound, transvaginal |
264 |
250 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
200 |
189 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
562 |
500 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
109 |
102 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
19 |
16 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
200 |
173 |
$1K |
| 73562 |
|
38 |
24 |
$610.07 |
| 73630 |
|
31 |
25 |
$554.58 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
504 |
477 |
$216.70 |
| 73130 |
|
18 |
12 |
$182.00 |