| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,222 |
2,037 |
$136K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
451 |
426 |
$35K |
| 70496 |
|
227 |
218 |
$21K |
| 70498 |
|
214 |
204 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
577 |
544 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
33 |
27 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
36 |
$3K |
| 70552 |
|
14 |
13 |
$1K |
| 70486 |
|
15 |
15 |
$525.32 |
| 72100 |
|
31 |
30 |
$332.86 |
| 71045 |
Radiologic examination, chest; single view |
38 |
24 |
$204.98 |