| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,945 |
2,557 |
$189K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,983 |
1,879 |
$93K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
457 |
435 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
638 |
615 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
757 |
695 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,055 |
3,098 |
$19K |
| 93976 |
|
307 |
286 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,003 |
941 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
293 |
287 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
96 |
82 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
43 |
$2K |
| 76830 |
Ultrasound, transvaginal |
35 |
31 |
$1K |
| 70496 |
|
13 |
13 |
$1K |
| 70498 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
27 |
$765.74 |
| 72131 |
|
12 |
12 |
$422.90 |
| 73030 |
|
17 |
12 |
$189.30 |
| 74018 |
|
16 |
16 |
$70.92 |