| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,385 |
2,181 |
$135K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
938 |
892 |
$80K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
84 |
83 |
$7K |
| 70486 |
|
58 |
51 |
$2K |
| 70491 |
|
39 |
36 |
$2K |
| 70496 |
|
16 |
16 |
$2K |
| 70498 |
|
16 |
16 |
$2K |
| 72110 |
|
26 |
26 |
$385.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$224.41 |
| 72100 |
|
12 |
12 |
$134.29 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
109 |
98 |
$0.00 |