| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
210 |
210 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
190 |
188 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
146 |
145 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
221 |
214 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
104 |
102 |
$7K |
| 73630 |
|
14 |
14 |
$125.34 |