| Code | Description | Claims | Beneficiaries | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
982 |
768 |
$244K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,083 |
1,687 |
$196K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,411 |
1,123 |
$117K |
| 71250 |
|
1,893 |
1,560 |
$98K |
| 74183 |
|
299 |
226 |
$85K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,298 |
1,070 |
$42K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
313 |
249 |
$42K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,101 |
873 |
$40K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
88 |
68 |
$21K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,608 |
1,179 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,722 |
2,246 |
$20K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,389 |
3,531 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
81 |
52 |
$14K |
| 76536 |
|
273 |
233 |
$8K |
| 72197 |
|
37 |
28 |
$8K |
| 93971 |
|
153 |
113 |
$8K |
| 72100 |
|
529 |
429 |
$6K |
| 76830 |
Ultrasound, transvaginal |
123 |
110 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
111 |
85 |
$4K |
| 72141 |
|
13 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
49 |
41 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
611 |
423 |
$2K |
| 71271 |
|
46 |
33 |
$1K |
| 73630 |
|
122 |
93 |
$1K |
| 77080 |
|
57 |
39 |
$1K |
| 93976 |
|
12 |
12 |
$963.19 |
| 73610 |
|
53 |
36 |
$643.52 |
| 93922 |
|
15 |
15 |
$569.32 |
| 73502 |
|
33 |
24 |
$495.54 |
| 73030 |
|
52 |
40 |
$461.86 |
| 74220 |
|
12 |
12 |
$390.16 |
| C8908 |
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral |
16 |
12 |
$0.00 |