| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
759 |
720 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
483 |
469 |
$20K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
337 |
326 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
49 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,709 |
1,488 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
166 |
146 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
98 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
140 |
120 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
649 |
600 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
21 |
21 |
$605.75 |
| 71250 |
|
25 |
24 |
$537.66 |
| 74240 |
|
13 |
12 |
$433.22 |
| 71271 |
|
13 |
13 |
$159.64 |
| 73630 |
|
16 |
14 |
$146.16 |
| 73130 |
|
16 |
12 |
$120.48 |