| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,705 |
2,625 |
$31K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
277 |
276 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,430 |
1,375 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
78 |
77 |
$4K |
| 70491 |
|
51 |
50 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
69 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
53 |
$448.45 |