| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,411 |
1,356 |
$81K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
511 |
496 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
422 |
413 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,970 |
2,465 |
$18K |
| 71250 |
|
362 |
355 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
133 |
131 |
$10K |
| 72131 |
|
135 |
131 |
$5K |
| 72128 |
|
101 |
99 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
80 |
$543.64 |
| 73630 |
|
59 |
57 |
$469.25 |
| 74018 |
|
13 |
13 |
$70.87 |