| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,973 |
1,906 |
$111K |
| 71045 |
Radiologic examination, chest; single view |
30,495 |
25,346 |
$110K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,652 |
4,439 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
13,245 |
12,784 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
476 |
466 |
$24K |
| 74018 |
|
3,113 |
2,412 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
313 |
285 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
585 |
539 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
453 |
396 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
148 |
138 |
$9K |
| 76770 |
|
263 |
259 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
187 |
187 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
138 |
138 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
39 |
$3K |
| 73610 |
|
542 |
494 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
134 |
130 |
$3K |
| 73630 |
|
540 |
469 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
127 |
$3K |
| 73030 |
|
322 |
304 |
$2K |
| 73130 |
|
321 |
281 |
$2K |
| 73110 |
|
310 |
273 |
$2K |
| 73562 |
|
257 |
237 |
$2K |
| 73090 |
|
239 |
214 |
$1K |
| 72100 |
|
186 |
185 |
$1K |
| 74019 |
|
166 |
160 |
$1K |
| 73080 |
|
165 |
146 |
$1K |
| 73590 |
|
167 |
146 |
$1K |
| 76801 |
|
26 |
26 |
$900.61 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
30 |
$842.99 |
| 73140 |
|
86 |
84 |
$452.57 |
| 71250 |
|
14 |
14 |
$362.03 |
| 73502 |
|
43 |
40 |
$340.76 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$312.25 |
| 73552 |
|
48 |
39 |
$275.14 |
| 73560 |
|
38 |
31 |
$234.00 |
| 73564 |
|
14 |
12 |
$119.70 |
| 72040 |
|
13 |
13 |
$97.49 |
| 77001 |
|
16 |
15 |
$29.80 |
| 76937 |
|
14 |
13 |
$24.19 |