| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,907 |
1,153 |
$161K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,268 |
642 |
$118K |
| 72141 |
|
838 |
473 |
$69K |
| 73221 |
|
325 |
173 |
$28K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
612 |
321 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,625 |
993 |
$24K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
422 |
220 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
348 |
179 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
139 |
83 |
$12K |
| 72100 |
|
671 |
385 |
$11K |
| 76536 |
|
220 |
113 |
$11K |
| 73562 |
|
496 |
211 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
594 |
557 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
15 |
$4K |
| 72146 |
|
59 |
38 |
$4K |
| 71250 |
|
68 |
39 |
$4K |
| 93975 |
|
13 |
13 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
15 |
$2K |
| 73030 |
|
135 |
66 |
$2K |
| 72040 |
|
108 |
62 |
$2K |
| 76830 |
Ultrasound, transvaginal |
24 |
12 |
$1K |
| 73630 |
|
59 |
26 |
$848.60 |
| 72072 |
|
23 |
12 |
$380.11 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
240 |
169 |
$48.93 |