| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,659 |
1,561 |
$95K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,189 |
1,155 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
1,936 |
1,761 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
161 |
159 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
489 |
466 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
35 |
28 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$1K |
| 76801 |
|
16 |
13 |
$494.72 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$329.30 |