| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
8,034 |
7,408 |
$47K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,206 |
1,205 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
593 |
580 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
3,681 |
3,583 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
849 |
814 |
$16K |
| 76641 |
|
168 |
131 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
227 |
227 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$585.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$297.54 |
| 73610 |
|
79 |
77 |
$292.56 |
| 73630 |
|
75 |
70 |
$286.33 |
| 93971 |
|
16 |
14 |
$222.32 |
| 73562 |
|
27 |
26 |
$124.32 |
| 73130 |
|
30 |
27 |
$111.30 |
| 72100 |
|
14 |
14 |
$72.52 |
| 77080 |
|
12 |
12 |
$57.15 |
| 73030 |
|
12 |
12 |
$53.28 |