| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
801 |
748 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
353 |
341 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,736 |
2,459 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
124 |
97 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,205 |
1,151 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
14 |
$1K |
| 74018 |
|
102 |
100 |
$502.31 |
| 73630 |
|
14 |
14 |
$207.85 |
| 73110 |
|
13 |
13 |
$135.00 |
| 73562 |
|
12 |
12 |
$119.50 |