| Code | Description | Claims | Beneficiaries | Total Paid |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
162 |
161 |
$22K |
| 76830 |
Ultrasound, transvaginal |
424 |
424 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
635 |
634 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
384 |
382 |
$18K |
| 72197 |
|
108 |
108 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
663 |
659 |
$10K |
| 74178 |
|
49 |
49 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$3K |
| 76536 |
|
12 |
12 |
$374.37 |