| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,421 |
1,277 |
$45K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
362 |
353 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
388 |
380 |
$21K |
| 70496 |
|
54 |
54 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
37 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
25 |
$1K |
| 72141 |
|
12 |
12 |
$621.43 |
| 72128 |
|
12 |
12 |
$620.03 |