| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,474 |
2,093 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
841 |
687 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
522 |
424 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
5,443 |
4,174 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,124 |
1,945 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
134 |
120 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
49 |
30 |
$1K |
| 73630 |
|
139 |
110 |
$731.61 |
| 74018 |
|
169 |
144 |
$655.91 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
36 |
26 |
$612.00 |
| 73562 |
|
109 |
87 |
$512.99 |
| 73610 |
|
61 |
56 |
$366.86 |