| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,333 |
1,263 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,431 |
1,351 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
284 |
246 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,520 |
2,352 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
854 |
809 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
172 |
158 |
$6K |
| 72131 |
|
125 |
105 |
$4K |
| 71250 |
|
134 |
126 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
145 |
144 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$737.79 |
| 73562 |
|
59 |
58 |
$314.09 |
| 73130 |
|
43 |
43 |
$277.74 |
| 71020 |
|
44 |
43 |
$273.56 |
| 72100 |
|
25 |
25 |
$213.80 |
| 73610 |
|
28 |
27 |
$158.85 |
| 71010 |
|
19 |
17 |
$90.61 |
| 73630 |
|
13 |
13 |
$87.23 |