| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,978 |
1,870 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
145 |
144 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
365 |
363 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
141 |
141 |
$2K |
| 70496 |
|
38 |
38 |
$1K |
| 70498 |
|
37 |
37 |
$829.41 |
| 70544 |
|
14 |
14 |
$244.14 |
| 70547 |
|
13 |
13 |
$213.86 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
948 |
665 |
$0.00 |