| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
886 |
880 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,005 |
4,715 |
$61K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,337 |
1,328 |
$58K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
769 |
762 |
$35K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
531 |
523 |
$8K |
| 72141 |
|
158 |
157 |
$6K |
| 70496 |
|
70 |
69 |
$2K |
| 70544 |
|
75 |
73 |
$2K |
| 70498 |
|
57 |
56 |
$1K |
| 72157 |
|
12 |
12 |
$743.43 |
| 70547 |
|
24 |
24 |
$404.33 |
| 72146 |
|
12 |
12 |
$353.52 |
| 70486 |
|
16 |
16 |
$235.24 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
98 |
57 |
$164.46 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,241 |
884 |
$0.00 |