| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,992 |
1,876 |
$136K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
318 |
306 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,461 |
2,364 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,530 |
2,256 |
$11K |
| 70496 |
|
76 |
65 |
$7K |
| 70498 |
|
26 |
26 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
68 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$1K |
| 70486 |
|
24 |
24 |
$714.77 |
| 70491 |
|
13 |
12 |
$687.55 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$473.81 |
| 73630 |
|
44 |
43 |
$466.22 |
| 73610 |
|
25 |
25 |
$356.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$319.80 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
141 |
118 |
$0.00 |