| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
5,765 |
4,049 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
243 |
237 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
846 |
843 |
$4K |
| 74018 |
|
402 |
352 |
$991.94 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
39 |
$851.69 |
| 71250 |
|
27 |
26 |
$464.08 |
| 76770 |
|
29 |
29 |
$283.78 |
| 93970 |
|
13 |
13 |
$141.64 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$86.32 |