| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
627 |
611 |
$106K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
720 |
679 |
$84K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
454 |
439 |
$46K |
| 73221 |
|
269 |
258 |
$30K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
348 |
346 |
$26K |
| 72141 |
|
211 |
204 |
$21K |
| 73630 |
|
978 |
749 |
$16K |
| 73130 |
|
817 |
624 |
$14K |
| 76536 |
|
233 |
224 |
$13K |
| 73110 |
|
598 |
514 |
$11K |
| 73610 |
|
495 |
400 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
478 |
465 |
$8K |
| 73030 |
|
395 |
350 |
$6K |
| 72110 |
|
225 |
219 |
$5K |
| 74018 |
|
311 |
291 |
$4K |
| 72170 |
|
270 |
266 |
$4K |
| 73564 |
|
196 |
176 |
$4K |
| 73562 |
|
176 |
121 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
390 |
380 |
$3K |
| 76642 |
|
60 |
51 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
38 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
15 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$1K |
| 76881 |
|
33 |
24 |
$1K |
| 73560 |
|
69 |
65 |
$1K |
| 73502 |
|
54 |
51 |
$1K |
| 73080 |
|
40 |
38 |
$662.74 |
| 72114 |
|
13 |
13 |
$413.60 |
| 77073 |
|
12 |
12 |
$287.60 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
579 |
536 |
$0.00 |