| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,748 |
4,722 |
$287K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,009 |
4,935 |
$122K |
| 71045 |
Radiologic examination, chest; single view |
19,872 |
13,374 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
10,944 |
9,067 |
$78K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,050 |
882 |
$53K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,010 |
848 |
$42K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
741 |
622 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
417 |
348 |
$11K |
| 73630 |
|
1,463 |
1,121 |
$8K |
| 74018 |
|
1,430 |
1,047 |
$7K |
| 73610 |
|
794 |
596 |
$4K |
| 73130 |
|
573 |
453 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
64 |
52 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
55 |
51 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
55 |
51 |
$1K |
| 93971 |
|
70 |
62 |
$886.48 |
| 71250 |
|
46 |
40 |
$784.77 |
| 73030 |
|
102 |
78 |
$550.83 |
| 73562 |
|
95 |
67 |
$518.38 |
| 73110 |
|
62 |
52 |
$358.65 |
| 72100 |
|
35 |
28 |
$266.69 |
| 73560 |
|
50 |
40 |
$262.81 |