| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71271 |
|
622 |
615 |
$61K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
324 |
309 |
$53K |
| 73221 |
|
248 |
236 |
$42K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
280 |
276 |
$37K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
271 |
262 |
$15K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
73 |
71 |
$12K |
| 95800 |
|
119 |
113 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
608 |
584 |
$10K |
| 76536 |
|
95 |
90 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
85 |
84 |
$6K |
| 72100 |
|
184 |
181 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
15 |
$3K |
| 72141 |
|
15 |
14 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
97 |
84 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
340 |
179 |
$2K |
| 73562 |
|
97 |
77 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$1K |
| 73030 |
|
55 |
51 |
$918.78 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$678.69 |
| 73630 |
|
17 |
13 |
$310.20 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
12 |
$230.21 |
| 72040 |
|
13 |
12 |
$188.54 |