| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,777 |
1,622 |
$110K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
761 |
719 |
$53K |
| 70486 |
|
27 |
27 |
$872.75 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$758.51 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$639.37 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$536.64 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
20 |
14 |
$0.00 |