| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
463 |
423 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
238 |
230 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
36 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
476 |
464 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
50 |
49 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
431 |
381 |
$2K |
| 73610 |
|
15 |
14 |
$188.31 |