| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,561 |
1,468 |
$108K |
| 71046 |
Radiologic examination, chest; 2 views |
2,053 |
1,965 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
140 |
135 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,160 |
1,908 |
$10K |
| 70496 |
|
30 |
29 |
$3K |
| 70498 |
|
14 |
13 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
56 |
$1K |
| 72100 |
|
94 |
93 |
$1K |
| 73630 |
|
104 |
94 |
$1K |
| 73562 |
|
42 |
37 |
$531.05 |
| 73030 |
|
29 |
27 |
$295.87 |
| 73610 |
|
13 |
13 |
$174.08 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
94 |
73 |
$0.00 |