| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,568 |
1,487 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
100 |
100 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
42 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$302.97 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
321 |
221 |
$0.00 |