| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
555 |
506 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
20 |
14 |
$737.58 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
18 |
13 |
$665.59 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
19 |
12 |
$300.78 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
24 |
12 |
$0.00 |