| Code | Description | Claims | Beneficiaries | Total Paid |
| 76801 |
|
1,250 |
1,225 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
696 |
650 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
6,450 |
5,176 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
3,652 |
3,397 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
180 |
178 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
443 |
417 |
$9K |
| 76998 |
|
209 |
208 |
$6K |
| 73630 |
|
529 |
473 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
131 |
129 |
$4K |
| 73564 |
|
338 |
286 |
$3K |
| 73030 |
|
365 |
334 |
$3K |
| 93976 |
|
171 |
145 |
$3K |
| 73130 |
|
294 |
254 |
$3K |
| 73610 |
|
164 |
144 |
$2K |
| 72020 |
|
154 |
137 |
$2K |
| 76830 |
Ultrasound, transvaginal |
48 |
43 |
$2K |
| 93970 |
|
53 |
53 |
$945.32 |
| 72110 |
|
48 |
48 |
$795.50 |
| 74018 |
|
161 |
147 |
$670.42 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$635.28 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$518.64 |
| 72100 |
|
32 |
32 |
$419.80 |
| 76770 |
|
12 |
12 |
$393.92 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
17 |
17 |
$371.84 |
| 73502 |
|
47 |
38 |
$322.78 |
| 73110 |
|
13 |
13 |
$167.96 |
| 93971 |
|
12 |
12 |
$116.24 |
| 72170 |
|
15 |
15 |
$94.02 |