| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
29,581 |
25,068 |
$197K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,599 |
3,387 |
$108K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,048 |
1,012 |
$71K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,039 |
1,002 |
$68K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
235 |
231 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
119 |
116 |
$4K |
| 93970 |
|
114 |
114 |
$4K |
| 70496 |
|
13 |
12 |
$968.37 |
| 70498 |
|
13 |
12 |
$965.25 |
| 71250 |
|
25 |
24 |
$921.45 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$874.60 |
| 93971 |
|
28 |
28 |
$421.35 |
| 76770 |
|
14 |
14 |
$359.17 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$150.55 |