| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,767 |
1,603 |
$121K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
423 |
402 |
$36K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
94 |
80 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
26 |
$2K |
| 70491 |
|
24 |
24 |
$870.95 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$716.36 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
31 |
$169.52 |
| 71045 |
Radiologic examination, chest; single view |
47 |
44 |
$163.03 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
155 |
144 |
$0.00 |