| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,574 |
2,362 |
$168K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,262 |
1,203 |
$106K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
150 |
135 |
$5K |
| 72100 |
|
208 |
205 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
338 |
322 |
$2K |
| 70498 |
|
16 |
13 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
13 |
$849.53 |
| 72050 |
|
12 |
12 |
$193.93 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$120.87 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
168 |
158 |
$0.00 |