| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,144 |
3,605 |
$278K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
735 |
710 |
$52K |
| 70498 |
|
468 |
433 |
$45K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
494 |
479 |
$34K |
| 70496 |
|
311 |
285 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
830 |
767 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
488 |
426 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,364 |
1,954 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
220 |
203 |
$9K |
| 76642 |
|
353 |
270 |
$9K |
| 72141 |
|
95 |
87 |
$7K |
| 77066 |
Tomosynthesis, mammo |
157 |
128 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,130 |
1,038 |
$6K |
| 76801 |
|
130 |
116 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
37 |
33 |
$4K |
| 70486 |
|
126 |
104 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
63 |
63 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
134 |
129 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
70 |
64 |
$2K |
| 76830 |
Ultrasound, transvaginal |
55 |
49 |
$2K |
| 73030 |
|
145 |
102 |
$2K |
| 77065 |
Tomosynthesis, mammo |
48 |
42 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
58 |
51 |
$1K |
| 72129 |
|
30 |
28 |
$1K |
| 72132 |
|
30 |
28 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
30 |
$1K |
| 72100 |
|
94 |
87 |
$1K |
| 73130 |
|
114 |
76 |
$1K |
| 73610 |
|
73 |
58 |
$994.14 |
| 73562 |
|
89 |
69 |
$940.73 |
| 73630 |
|
84 |
66 |
$846.27 |
| 70491 |
|
18 |
15 |
$626.54 |
| 93970 |
|
53 |
43 |
$616.25 |
| 71250 |
|
31 |
29 |
$604.43 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
14 |
$578.73 |
| 76536 |
|
18 |
18 |
$529.85 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$404.82 |
| 76770 |
|
13 |
12 |
$398.96 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
16 |
$361.24 |
| 73560 |
|
22 |
14 |
$230.04 |
| 73565 |
|
14 |
14 |
$219.84 |
| 74018 |
|
29 |
25 |
$116.05 |
| 77080 |
|
14 |
13 |
$98.59 |
| 72170 |
|
13 |
13 |
$95.76 |
| 73502 |
|
14 |
13 |
$74.93 |