| Code | Description | Claims | Beneficiaries | Total Paid |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
104 |
102 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
726 |
705 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
539 |
317 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
59 |
$3K |
| 74018 |
|
339 |
295 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
14 |
$1K |
| 74019 |
|
39 |
31 |
$326.53 |
| 73630 |
|
17 |
17 |
$141.32 |
| 73130 |
|
13 |
13 |
$129.21 |
| 73090 |
|
14 |
13 |
$106.77 |
| 73610 |
|
14 |
14 |
$104.61 |