| Code | Description | Claims | Beneficiaries | Total Paid |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
812 |
802 |
$58K |
| 70450 |
Computed tomography, head or brain; without contrast material |
359 |
348 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
130 |
129 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
189 |
171 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
120 |
120 |
$1K |
| 70486 |
|
14 |
14 |
$771.84 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$605.00 |
| 74018 |
|
22 |
20 |
$181.21 |
| 76140 |
|
14 |
13 |
$70.40 |