| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
519 |
465 |
$32K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
958 |
870 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
2,496 |
2,185 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
4,635 |
3,146 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
659 |
553 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
320 |
296 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
131 |
$4K |
| 76830 |
Ultrasound, transvaginal |
96 |
93 |
$3K |
| 93971 |
|
76 |
66 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
12 |
$699.78 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
19 |
13 |
$564.46 |
| 77065 |
Tomosynthesis, mammo |
16 |
14 |
$539.34 |
| 76642 |
|
16 |
13 |
$538.47 |
| 73610 |
|
71 |
58 |
$437.82 |
| 74018 |
|
53 |
40 |
$305.09 |
| 73030 |
|
17 |
14 |
$130.22 |
| 72100 |
|
18 |
15 |
$115.55 |
| 73630 |
|
15 |
15 |
$103.72 |
| 73110 |
|
16 |
14 |
$95.70 |
| 73502 |
|
18 |
13 |
$79.86 |