| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
348 |
303 |
$24K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
79 |
77 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
44 |
44 |
$3K |
| 72141 |
|
20 |
20 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
216 |
203 |
$994.02 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$957.52 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
59 |
$338.91 |