| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,919 |
2,496 |
$165K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,793 |
1,686 |
$83K |
| 71045 |
Radiologic examination, chest; single view |
8,143 |
6,078 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
3,999 |
3,706 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
210 |
174 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
296 |
273 |
$10K |
| 73630 |
|
827 |
713 |
$9K |
| 70496 |
|
91 |
86 |
$9K |
| 93975 |
|
294 |
273 |
$9K |
| 74018 |
|
1,470 |
1,165 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
183 |
174 |
$7K |
| 70498 |
|
73 |
72 |
$7K |
| 73610 |
|
502 |
459 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
278 |
260 |
$6K |
| 93976 |
|
349 |
300 |
$6K |
| 73562 |
|
453 |
399 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
70 |
64 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
149 |
137 |
$4K |
| 72100 |
|
334 |
311 |
$4K |
| 73030 |
|
369 |
343 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
33 |
32 |
$4K |
| 76830 |
Ultrasound, transvaginal |
94 |
89 |
$3K |
| 73130 |
|
338 |
291 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
71 |
$3K |
| 72131 |
|
46 |
46 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$1K |
| 73564 |
|
96 |
74 |
$1K |
| 72141 |
|
21 |
21 |
$1K |
| 73110 |
|
75 |
68 |
$866.49 |
| 73502 |
|
120 |
110 |
$761.50 |
| 70486 |
|
14 |
14 |
$573.81 |
| 76770 |
|
12 |
12 |
$417.87 |
| 72110 |
|
21 |
15 |
$290.15 |
| 72082 |
|
22 |
13 |
$217.04 |
| 74019 |
|
32 |
24 |
$179.92 |
| 73140 |
|
13 |
12 |
$128.37 |
| 72040 |
|
12 |
12 |
$115.58 |