| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
864 |
746 |
$17K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
119 |
105 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
117 |
110 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
25 |
$1K |
| 70496 |
|
15 |
14 |
$618.49 |
| 70498 |
|
14 |
13 |
$538.22 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
14 |
13 |
$0.00 |