| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,323 |
1,199 |
$128K |
| 71046 |
Radiologic examination, chest; 2 views |
3,971 |
3,629 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
845 |
771 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
4,848 |
3,732 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
204 |
174 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
445 |
400 |
$15K |
| 72100 |
|
863 |
813 |
$10K |
| 76830 |
Ultrasound, transvaginal |
169 |
157 |
$8K |
| 73630 |
|
827 |
672 |
$7K |
| 73562 |
|
578 |
501 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
61 |
$6K |
| 73030 |
|
535 |
451 |
$5K |
| 73610 |
|
288 |
262 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
53 |
50 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
50 |
46 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
26 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
38 |
38 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
17 |
$2K |
| 72110 |
|
131 |
118 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
32 |
$2K |
| 76857 |
|
45 |
42 |
$1K |
| 73502 |
|
148 |
120 |
$1K |
| 73130 |
|
111 |
89 |
$996.52 |
| 73110 |
|
78 |
68 |
$877.22 |
| 72040 |
|
76 |
69 |
$771.61 |
| 71250 |
|
12 |
12 |
$670.26 |
| 76536 |
|
25 |
24 |
$642.07 |
| 93971 |
|
13 |
12 |
$268.51 |
| 72114 |
|
14 |
13 |
$230.55 |
| 73560 |
|
14 |
14 |
$128.94 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
50 |
46 |
$0.00 |