| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
477 |
431 |
$61K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
336 |
258 |
$39K |
| 72141 |
|
224 |
183 |
$28K |
| 70549 |
|
71 |
45 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
113 |
102 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
56 |
45 |
$7K |
| 70544 |
|
49 |
30 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
305 |
286 |
$5K |
| 73221 |
|
14 |
13 |
$2K |
| 71250 |
|
12 |
12 |
$880.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
180 |
156 |
$753.13 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
39 |
17 |
$335.52 |
| 82565 |
|
13 |
13 |
$37.85 |