| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
698 |
668 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
610 |
590 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
316 |
311 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
237 |
225 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,427 |
1,345 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
210 |
199 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,840 |
1,412 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
170 |
163 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
91 |
80 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
123 |
115 |
$3K |
| 73562 |
|
239 |
192 |
$2K |
| 73630 |
|
195 |
173 |
$2K |
| 73610 |
|
85 |
77 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
40 |
$1K |
| 73030 |
|
90 |
79 |
$940.60 |
| 72100 |
|
70 |
65 |
$851.99 |
| 73130 |
|
77 |
64 |
$709.71 |
| 74240 |
|
30 |
18 |
$695.13 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
30 |
$677.89 |
| 74018 |
|
92 |
90 |
$300.85 |
| 93971 |
|
31 |
29 |
$236.94 |
| 73110 |
|
15 |
14 |
$129.66 |
| 93970 |
|
13 |
12 |
$121.66 |
| 73590 |
|
15 |
13 |
$116.60 |