| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
746 |
699 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
406 |
372 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,562 |
1,776 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
167 |
150 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
49 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
513 |
483 |
$2K |
| 93970 |
|
30 |
26 |
$302.14 |
| 74018 |
|
34 |
24 |
$76.58 |