| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
303 |
231 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,531 |
1,428 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
100 |
78 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
113 |
104 |
$256.85 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
375 |
222 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
14 |
14 |
$0.00 |