| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,358 |
2,162 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
320 |
316 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
434 |
427 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
78 |
77 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
703 |
559 |
$4K |
| 70496 |
|
83 |
77 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
357 |
356 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
71 |
$2K |
| 72131 |
|
41 |
41 |
$746.08 |
| 70486 |
|
38 |
38 |
$735.00 |
| 70498 |
|
26 |
25 |
$671.34 |