| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
3,221 |
3,154 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
4,108 |
2,718 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
925 |
906 |
$24K |
| 74018 |
|
2,272 |
2,019 |
$19K |
| 76770 |
|
423 |
415 |
$15K |
| 73610 |
|
851 |
817 |
$12K |
| 73630 |
|
754 |
715 |
$10K |
| 93975 |
|
107 |
105 |
$7K |
| 76506 |
|
192 |
146 |
$6K |
| 73090 |
|
597 |
569 |
$5K |
| 73590 |
|
440 |
420 |
$5K |
| 74019 |
|
397 |
388 |
$4K |
| 73110 |
|
303 |
292 |
$4K |
| 73130 |
|
260 |
245 |
$3K |
| 73030 |
|
130 |
117 |
$2K |
| 73564 |
|
121 |
105 |
$2K |
| 73100 |
|
207 |
195 |
$2K |
| 73140 |
|
188 |
166 |
$2K |
| 73562 |
|
98 |
81 |
$2K |
| 73521 |
|
115 |
114 |
$2K |
| 73080 |
|
131 |
122 |
$1K |
| 72082 |
|
85 |
81 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
25 |
$1K |
| 76140 |
|
180 |
166 |
$951.13 |
| 76536 |
|
13 |
13 |
$901.44 |
| 74230 |
|
42 |
42 |
$831.60 |
| 73502 |
|
48 |
44 |
$789.17 |
| 72040 |
|
63 |
62 |
$579.35 |
| 73552 |
|
50 |
38 |
$571.70 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$516.19 |
| 73070 |
|
66 |
63 |
$492.39 |
| 76885 |
|
12 |
12 |
$428.72 |
| 73560 |
|
42 |
42 |
$423.35 |
| 77072 |
|
56 |
56 |
$412.68 |
| 74240 |
|
13 |
13 |
$377.82 |
| 73620 |
|
18 |
13 |
$287.34 |
| 74022 |
|
12 |
12 |
$233.57 |
| 77073 |
|
25 |
25 |
$231.21 |
| 72081 |
|
12 |
12 |
$152.62 |
| 73660 |
|
13 |
13 |
$148.71 |
| 70360 |
|
13 |
13 |
$114.38 |