| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,283 |
1,175 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
69 |
69 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
267 |
265 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
39 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
169 |
162 |
$442.87 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$216.84 |