| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
299 |
282 |
$131K |
| 71046 |
Radiologic examination, chest; 2 views |
2,066 |
1,899 |
$53K |
| 76830 |
Ultrasound, transvaginal |
613 |
573 |
$42K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
606 |
558 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
281 |
248 |
$37K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
69 |
68 |
$20K |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
566 |
523 |
$16K |
| 77080 |
|
253 |
249 |
$16K |
| 72141 |
|
37 |
36 |
$12K |
| 76536 |
|
111 |
108 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,046 |
843 |
$7K |
| 73630 |
|
592 |
488 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
31 |
27 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
25 |
$4K |
| 73562 |
|
235 |
193 |
$4K |
| 93971 |
|
40 |
39 |
$3K |
| 74018 |
|
152 |
144 |
$3K |
| 73130 |
|
238 |
185 |
$3K |
| 73610 |
|
205 |
180 |
$3K |
| 73030 |
|
100 |
81 |
$1K |
| 76770 |
|
15 |
14 |
$1K |
| 73110 |
|
71 |
61 |
$846.21 |
| 72100 |
|
30 |
28 |
$824.20 |