| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,923 |
1,794 |
$114K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,252 |
1,196 |
$110K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
246 |
233 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
336 |
313 |
$11K |
| 72100 |
|
634 |
624 |
$9K |
| 70496 |
|
39 |
30 |
$4K |
| 70498 |
|
35 |
29 |
$3K |
| 72141 |
|
26 |
26 |
$2K |
| 72131 |
|
31 |
31 |
$973.90 |
| 72050 |
|
42 |
41 |
$730.53 |
| 70491 |
|
12 |
12 |
$638.00 |
| 70486 |
|
12 |
12 |
$438.13 |
| 71045 |
Radiologic examination, chest; single view |
95 |
90 |
$425.23 |
| 72040 |
|
25 |
22 |
$344.51 |
| 70355 |
|
16 |
15 |
$243.95 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
30 |
$156.04 |