| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
969 |
912 |
$56K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
555 |
540 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,246 |
1,953 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
396 |
391 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
26 |
$1K |
| 74018 |
|
62 |
50 |
$264.74 |