| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
564 |
551 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
165 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
83 |
83 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
500 |
482 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
40 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$1K |
| 73564 |
|
23 |
20 |
$213.96 |
| 73610 |
|
17 |
16 |
$129.44 |
| 73590 |
|
15 |
14 |
$121.35 |