| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
822 |
621 |
$7K |
| 76506 |
|
193 |
130 |
$6K |
| 76770 |
|
94 |
78 |
$3K |
| 76830 |
Ultrasound, transvaginal |
32 |
31 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
46 |
41 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
66 |
62 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
18 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
27 |
$1K |
| 93976 |
|
16 |
15 |
$1K |
| 71010 |
|
71 |
62 |
$952.00 |
| 93970 |
|
14 |
14 |
$782.50 |
| 76801 |
|
12 |
12 |
$688.08 |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
55 |
$547.34 |
| 71020 |
|
23 |
21 |
$276.00 |
| 74018 |
|
21 |
18 |
$151.88 |