| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,660 |
2,494 |
$173K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,226 |
1,170 |
$104K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
88 |
87 |
$9K |
| 70496 |
|
48 |
45 |
$5K |
| 72100 |
|
224 |
218 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
64 |
$2K |
| 70498 |
|
15 |
14 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
47 |
44 |
$197.98 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
161 |
150 |
$0.00 |