| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
303 |
303 |
$51K |
| 70450 |
Computed tomography, head or brain; without contrast material |
511 |
511 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
130 |
130 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
668 |
665 |
$16K |
| 73562 |
|
512 |
459 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
84 |
84 |
$12K |
| 73630 |
|
363 |
318 |
$11K |
| 72141 |
|
51 |
51 |
$10K |
| 73030 |
|
100 |
93 |
$3K |
| 73610 |
|
86 |
79 |
$2K |
| 73130 |
|
61 |
56 |
$2K |
| 72100 |
|
25 |
25 |
$737.49 |
| 73110 |
|
13 |
12 |
$486.04 |
| 72110 |
|
13 |
13 |
$462.41 |
| 73502 |
|
12 |
12 |
$426.63 |