| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
212 |
161 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
292 |
274 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
110 |
77 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
68 |
38 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
138 |
72 |
$0.00 |