| Code | Description | Claims | Beneficiaries | Total Paid |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
695 |
663 |
$66K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,470 |
1,432 |
$64K |
| 70450 |
Computed tomography, head or brain; without contrast material |
712 |
685 |
$44K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
955 |
923 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
1,998 |
1,831 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
67 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
197 |
182 |
$1K |
| 73630 |
|
17 |
15 |
$165.55 |
| 73562 |
|
14 |
14 |
$128.20 |
| 73130 |
|
14 |
14 |
$120.98 |
| 72170 |
|
13 |
13 |
$40.54 |