| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
2,286 |
2,263 |
$73K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
336 |
336 |
$51K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
175 |
173 |
$25K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$4K |
| 72082 |
|
29 |
29 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$1K |
| 73564 |
|
22 |
13 |
$1K |