| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,919 |
2,827 |
$100K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,390 |
6,966 |
$82K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,029 |
1,970 |
$55K |
| 71045 |
Radiologic examination, chest; single view |
15,644 |
11,952 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
3,352 |
3,319 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
709 |
700 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,603 |
1,574 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,267 |
1,247 |
$14K |
| 93970 |
|
913 |
902 |
$10K |
| 70486 |
|
401 |
393 |
$6K |
| 71250 |
|
215 |
205 |
$3K |
| 74018 |
|
1,108 |
970 |
$3K |
| 73630 |
|
199 |
187 |
$498.92 |
| 76775 |
|
75 |
75 |
$326.47 |
| 72100 |
|
82 |
82 |
$316.10 |
| 73564 |
|
93 |
80 |
$311.26 |
| 93971 |
|
39 |
39 |
$242.86 |
| 76857 |
|
64 |
61 |
$235.67 |
| 73502 |
|
71 |
64 |
$209.53 |
| 73030 |
|
51 |
49 |
$183.42 |
| 73610 |
|
28 |
26 |
$83.76 |
| 73590 |
|
26 |
25 |
$48.07 |
| 73130 |
|
16 |
15 |
$44.75 |
| 73562 |
|
18 |
16 |
$42.97 |
| 73560 |
|
13 |
13 |
$18.50 |
| 73552 |
|
15 |
13 |
$17.33 |