| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
106 |
105 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
173 |
166 |
$6K |
| 70498 |
|
48 |
47 |
$4K |
| 72110 |
|
105 |
105 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 70496 |
|
17 |
17 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
16 |
$965.81 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$370.43 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
14 |
12 |
$0.00 |