| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
830 |
794 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
932 |
912 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
2,024 |
1,776 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,302 |
1,278 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$960.26 |
| 73630 |
|
54 |
53 |
$567.02 |
| 74018 |
|
90 |
86 |
$407.84 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$239.61 |
| 73610 |
|
14 |
13 |
$204.24 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
15 |
15 |
$0.00 |