| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,824 |
1,668 |
$101K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,283 |
1,250 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
3,856 |
3,340 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
96 |
91 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
69 |
66 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
404 |
397 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
66 |
60 |
$2K |
| 74018 |
|
316 |
251 |
$1K |