| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
702 |
593 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
481 |
409 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
695 |
611 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,692 |
1,396 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
252 |
225 |
$5K |
| 73630 |
|
368 |
304 |
$2K |
| 71250 |
|
54 |
52 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
34 |
29 |
$1K |
| 73130 |
|
219 |
187 |
$1K |
| 73610 |
|
232 |
206 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
173 |
156 |
$836.01 |
| 73562 |
|
178 |
152 |
$809.49 |
| 73110 |
|
145 |
109 |
$673.83 |
| 73030 |
|
66 |
57 |
$366.61 |
| 74022 |
|
19 |
14 |
$148.70 |
| 73600 |
|
13 |
12 |
$92.88 |
| 73590 |
|
17 |
14 |
$74.40 |