| Code | Description | Claims | Beneficiaries | Total Paid |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
297 |
294 |
$29K |
| 76770 |
|
519 |
512 |
$21K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
126 |
112 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
74 |
69 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
263 |
202 |
$2K |
| 72082 |
|
116 |
95 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
165 |
161 |
$1K |
| 74018 |
|
107 |
94 |
$645.86 |
| 73610 |
|
33 |
33 |
$512.38 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$494.08 |
| 72170 |
|
34 |
31 |
$185.68 |
| 72081 |
|
21 |
21 |
$181.10 |
| 73562 |
|
12 |
12 |
$164.70 |
| 74019 |
|
13 |
13 |
$89.96 |
| 73140 |
|
17 |
16 |
$69.14 |