| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,144 |
2,015 |
$132K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
494 |
472 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
157 |
149 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
488 |
458 |
$2K |
| 70496 |
|
12 |
12 |
$948.44 |
| 72100 |
|
67 |
66 |
$939.05 |
| 70486 |
|
12 |
12 |
$443.36 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
19 |
$117.36 |
| 70355 |
|
12 |
12 |
$103.92 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
60 |
56 |
$0.00 |