| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,466 |
3,906 |
$248K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,112 |
1,058 |
$83K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,171 |
1,073 |
$27K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
310 |
295 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
5,552 |
4,241 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,396 |
2,239 |
$12K |
| 70496 |
|
113 |
103 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
109 |
107 |
$8K |
| 70498 |
|
83 |
76 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
40 |
$2K |
| 72131 |
|
45 |
43 |
$1K |
| 72100 |
|
96 |
92 |
$1K |
| 74018 |
|
200 |
177 |
$688.29 |
| 73030 |
|
54 |
50 |
$493.36 |
| 70486 |
|
19 |
15 |
$492.29 |
| 73564 |
|
32 |
24 |
$394.88 |
| 73610 |
|
26 |
25 |
$308.83 |
| 73630 |
|
30 |
24 |
$293.51 |
| 93976 |
|
12 |
12 |
$260.70 |