| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
498 |
453 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,362 |
2,129 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
247 |
234 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
212 |
194 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
141 |
137 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
37 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
91 |
89 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
214 |
174 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
13 |
$933.43 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$805.29 |
| 73630 |
|
19 |
17 |
$144.15 |
| 72100 |
|
13 |
13 |
$140.36 |
| 72110 |
|
14 |
13 |
$138.13 |
| 73610 |
|
13 |
12 |
$126.99 |
| 73562 |
|
16 |
12 |
$102.78 |