| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
725 |
687 |
$31K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
667 |
640 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
348 |
329 |
$12K |
| 74018 |
|
1,152 |
797 |
$5K |
| 78306 |
|
74 |
67 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
30 |
29 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
237 |
160 |
$1K |
| 78454 |
|
64 |
54 |
$873.83 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
38 |
38 |
$506.74 |