| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
291 |
289 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
153 |
147 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
637 |
591 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
96 |
93 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 73560 |
|
33 |
25 |
$589.18 |
| A4215 |
Needle, sterile, any size, each |
231 |
214 |
$21.00 |
| A4930 |
Gloves, sterile, per pair |
531 |
492 |
$6.91 |
| 82565 |
|
66 |
64 |
$4.78 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
483 |
446 |
$3.32 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
157 |
151 |
$0.00 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
596 |
569 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
184 |
174 |
$0.00 |
| 84520 |
|
66 |
64 |
$0.00 |
| 72141 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
64 |
$0.00 |