| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,620 |
3,274 |
$216K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
961 |
918 |
$85K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
414 |
398 |
$32K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
263 |
245 |
$8K |
| 72110 |
|
357 |
339 |
$5K |
| 70491 |
|
84 |
82 |
$4K |
| 70486 |
|
82 |
79 |
$3K |
| 70498 |
|
29 |
27 |
$2K |
| 70496 |
|
29 |
25 |
$2K |
| 72141 |
|
16 |
16 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$574.80 |
| 70544 |
|
14 |
14 |
$557.67 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
42 |
41 |
$173.15 |
| 72100 |
|
13 |
12 |
$152.30 |
| 72050 |
|
12 |
12 |
$122.48 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
12 |
12 |
$38.29 |