| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
807 |
761 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
780 |
748 |
$38K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
270 |
245 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
400 |
389 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,992 |
1,793 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
187 |
174 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
513 |
496 |
$3K |
| 71250 |
|
59 |
55 |
$2K |
| 73610 |
|
60 |
55 |
$789.96 |
| 73030 |
|
73 |
67 |
$759.65 |
| 73130 |
|
59 |
59 |
$568.32 |
| 73630 |
|
57 |
54 |
$559.87 |
| 74018 |
|
110 |
106 |
$513.06 |