| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
721 |
615 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
490 |
465 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,248 |
1,817 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
71 |
67 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
937 |
871 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$960.56 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$921.67 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$525.50 |
| 93970 |
|
12 |
12 |
$147.49 |
| 73630 |
|
12 |
12 |
$110.79 |