| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,032 |
953 |
$69K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
520 |
471 |
$62K |
| 76830 |
Ultrasound, transvaginal |
820 |
744 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
317 |
268 |
$41K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
385 |
361 |
$41K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,794 |
1,258 |
$19K |
| 76857 |
|
392 |
359 |
$17K |
| 76536 |
|
228 |
210 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
312 |
279 |
$15K |
| 93971 |
|
119 |
105 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
129 |
119 |
$6K |
| 76770 |
|
70 |
64 |
$5K |
| 73221 |
|
43 |
37 |
$4K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
541 |
327 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
41 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
61 |
58 |
$3K |
| 76882 |
|
19 |
14 |
$947.54 |