| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
237 |
201 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
133 |
112 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
573 |
546 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,210 |
1,158 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
93 |
75 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
62 |
62 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
347 |
312 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$127.14 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
74 |
40 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
48 |
26 |
$0.00 |