| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,860 |
3,555 |
$187K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,295 |
1,195 |
$55K |
| 72131 |
|
686 |
620 |
$29K |
| 70498 |
|
353 |
333 |
$28K |
| 72128 |
|
615 |
551 |
$26K |
| 70486 |
|
493 |
454 |
$23K |
| 70496 |
|
274 |
258 |
$20K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
125 |
122 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
94 |
90 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
30 |
30 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
14 |
$1K |
| 70491 |
|
12 |
12 |
$669.20 |
| 71045 |
Radiologic examination, chest; single view |
38 |
24 |
$170.93 |