| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
741 |
698 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
6,024 |
4,972 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
2,192 |
2,080 |
$12K |
| 74018 |
|
2,100 |
1,783 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
79 |
75 |
$8K |
| 73562 |
|
663 |
613 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
192 |
181 |
$7K |
| 73630 |
|
579 |
495 |
$5K |
| 73130 |
|
499 |
431 |
$5K |
| 73030 |
|
515 |
455 |
$5K |
| 73610 |
|
314 |
280 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$2K |
| 73590 |
|
122 |
100 |
$1K |
| 73110 |
|
72 |
65 |
$708.80 |
| 73502 |
|
135 |
127 |
$572.36 |
| 71250 |
|
15 |
15 |
$565.08 |
| 73560 |
|
47 |
38 |
$426.65 |
| 72170 |
|
18 |
15 |
$127.59 |