| Code | Description | Claims | Beneficiaries | Total Paid |
| 71250 |
|
1,292 |
1,025 |
$86K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
753 |
612 |
$86K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
657 |
567 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
3,254 |
2,687 |
$32K |
| 76536 |
|
817 |
691 |
$26K |
| 72100 |
|
1,063 |
842 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
60 |
56 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
45 |
37 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
77 |
62 |
$8K |
| 76770 |
|
188 |
147 |
$6K |
| 76830 |
Ultrasound, transvaginal |
45 |
43 |
$3K |
| 72040 |
|
187 |
150 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
24 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
990 |
790 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
12 |
$1K |
| 73030 |
|
68 |
57 |
$867.31 |
| 73562 |
|
37 |
26 |
$450.25 |
| 73502 |
|
15 |
15 |
$343.07 |
| 93975 |
|
18 |
15 |
$120.27 |
| 71271 |
|
30 |
30 |
$32.29 |