| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,825 |
9,612 |
$576K |
| 71045 |
Radiologic examination, chest; single view |
84,420 |
72,489 |
$415K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,255 |
9,902 |
$253K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,474 |
2,428 |
$129K |
| 74018 |
|
17,625 |
10,191 |
$98K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,201 |
3,884 |
$82K |
| 71046 |
Radiologic examination, chest; 2 views |
7,197 |
7,099 |
$54K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,271 |
1,220 |
$25K |
| 76506 |
|
645 |
453 |
$8K |
| 73610 |
|
1,245 |
1,216 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
157 |
153 |
$7K |
| 93976 |
|
260 |
250 |
$6K |
| 74230 |
|
250 |
238 |
$5K |
| 73630 |
|
813 |
778 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
143 |
140 |
$4K |
| 76770 |
|
152 |
150 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
153 |
141 |
$3K |
| 73130 |
|
520 |
501 |
$3K |
| 73562 |
|
326 |
310 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
36 |
36 |
$2K |
| 73110 |
|
236 |
230 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
40 |
$857.72 |
| 73030 |
|
78 |
76 |
$491.17 |
| 73590 |
|
12 |
12 |
$79.55 |
| 73140 |
|
12 |
12 |
$65.46 |