| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,746 |
1,618 |
$117K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,141 |
1,104 |
$50K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
314 |
306 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
5,087 |
4,227 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
502 |
495 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
242 |
226 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
507 |
475 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
125 |
123 |
$2K |
| 73630 |
|
132 |
123 |
$1K |
| 70498 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
36 |
$1K |
| 74018 |
|
232 |
223 |
$851.97 |
| 73130 |
|
70 |
69 |
$615.95 |
| 73030 |
|
61 |
59 |
$565.02 |
| 73610 |
|
36 |
35 |
$464.84 |
| 70486 |
|
14 |
14 |
$410.15 |
| 72100 |
|
26 |
25 |
$333.65 |
| 73564 |
|
25 |
25 |
$247.21 |