| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,039 |
973 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
570 |
537 |
$28K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
135 |
134 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
98 |
88 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
211 |
194 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
109 |
109 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,704 |
1,560 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
67 |
64 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
819 |
791 |
$5K |
| 72141 |
|
35 |
35 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
93 |
83 |
$3K |
| 73630 |
|
271 |
249 |
$3K |
| 73610 |
|
186 |
182 |
$3K |
| 73130 |
|
188 |
167 |
$2K |
| 73110 |
|
73 |
65 |
$800.14 |
| 74018 |
|
148 |
133 |
$764.79 |
| 73030 |
|
60 |
59 |
$610.97 |
| 72100 |
|
39 |
39 |
$579.59 |
| 71250 |
|
13 |
13 |
$283.12 |
| 73090 |
|
14 |
13 |
$137.25 |
| 72170 |
|
18 |
13 |
$115.70 |