| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,016 |
945 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
436 |
356 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
1,639 |
1,277 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
868 |
802 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
107 |
103 |
$4K |
| 76376 |
|
726 |
622 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
55 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$2K |
| 74018 |
|
186 |
150 |
$640.64 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
12 |
$542.34 |