| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,011 |
951 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
103 |
81 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
278 |
262 |
$870.43 |
| 71046 |
Radiologic examination, chest; 2 views |
140 |
139 |
$697.25 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
17 |
12 |
$320.62 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$120.61 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
67 |
36 |
$0.00 |