| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
133 |
130 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
940 |
815 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
28 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
378 |
$3K |
| 71010 |
|
137 |
118 |
$2K |
| 74018 |
|
180 |
166 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$1K |
| 71020 |
|
85 |
84 |
$1K |
| 74000 |
|
12 |
12 |
$120.00 |