| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,716 |
4,110 |
$76K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,490 |
1,370 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
9,932 |
7,434 |
$20K |
| 93976 |
|
509 |
405 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
315 |
266 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,364 |
1,281 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
206 |
193 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
194 |
191 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
393 |
325 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
193 |
190 |
$3K |
| 76830 |
Ultrasound, transvaginal |
44 |
41 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
37 |
36 |
$600.42 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$320.09 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
82 |
54 |
$315.61 |
| 76642 |
|
21 |
16 |
$242.92 |
| 71250 |
|
12 |
12 |
$168.00 |
| 73560 |
|
52 |
42 |
$141.19 |
| 73610 |
|
12 |
12 |
$55.08 |
| 74018 |
|
17 |
12 |
$38.67 |