| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
298 |
262 |
$45K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
126 |
113 |
$17K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
283 |
250 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
119 |
104 |
$1K |