| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
521 |
496 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,871 |
1,750 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
263 |
253 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
497 |
476 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
536 |
534 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
213 |
213 |
$9K |
| 71250 |
|
201 |
200 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
125 |
120 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
317 |
230 |
$6K |
| 76830 |
Ultrasound, transvaginal |
302 |
297 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
301 |
297 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
320 |
306 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
181 |
181 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
67 |
67 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
146 |
142 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
694 |
454 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
96 |
95 |
$4K |
| 72110 |
|
269 |
264 |
$3K |
| 73564 |
|
339 |
313 |
$2K |
| 73630 |
|
364 |
345 |
$2K |
| 73130 |
|
310 |
285 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
50 |
47 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
77 |
61 |
$2K |
| 72141 |
|
38 |
38 |
$2K |
| 73030 |
|
287 |
273 |
$2K |
| 73610 |
|
297 |
282 |
$1K |
| 74018 |
|
240 |
228 |
$1K |
| 76770 |
|
51 |
51 |
$1K |
| 73110 |
|
228 |
219 |
$1K |
| 73502 |
|
166 |
163 |
$1K |
| 76642 |
|
45 |
44 |
$909.10 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$847.67 |
| 76536 |
|
52 |
52 |
$808.35 |
| 93971 |
|
64 |
61 |
$798.84 |
| 76801 |
|
28 |
27 |
$787.64 |
| 77065 |
Tomosynthesis, mammo |
27 |
23 |
$535.33 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$490.27 |
| 72100 |
|
70 |
70 |
$439.98 |
| 76376 |
|
40 |
39 |
$207.29 |
| 72050 |
|
12 |
12 |
$160.38 |
| 73140 |
|
29 |
27 |
$114.84 |
| 73080 |
|
16 |
14 |
$69.30 |