| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,396 |
4,101 |
$295K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,497 |
1,359 |
$166K |
| 70498 |
|
671 |
610 |
$71K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,526 |
1,457 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
5,235 |
4,769 |
$27K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
871 |
787 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
5,257 |
4,650 |
$24K |
| 74174 |
|
316 |
283 |
$18K |
| 72132 |
|
281 |
235 |
$13K |
| 72129 |
|
265 |
220 |
$12K |
| 70486 |
|
313 |
269 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
196 |
194 |
$6K |
| 70496 |
|
41 |
37 |
$4K |
| 73564 |
|
97 |
90 |
$1K |
| 72170 |
|
144 |
129 |
$995.14 |
| 73630 |
|
106 |
101 |
$942.85 |
| 73130 |
|
69 |
58 |
$682.46 |
| 73590 |
|
69 |
58 |
$664.24 |
| 73610 |
|
44 |
43 |
$609.47 |
| 73030 |
|
60 |
58 |
$581.03 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
12 |
$454.86 |
| 73110 |
|
14 |
13 |
$127.62 |
| 73090 |
|
13 |
13 |
$109.80 |
| 73502 |
|
18 |
13 |
$86.74 |