| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,983 |
2,719 |
$193K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,196 |
1,139 |
$95K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
161 |
158 |
$14K |
| 72100 |
|
227 |
222 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
62 |
55 |
$2K |
| 70491 |
|
13 |
13 |
$607.20 |
| 72131 |
|
14 |
12 |
$500.19 |
| 71045 |
Radiologic examination, chest; single view |
66 |
59 |
$305.40 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
195 |
183 |
$0.00 |