| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
462 |
429 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
600 |
566 |
$30K |
| 73221 |
|
179 |
175 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
399 |
371 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
469 |
445 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
3,531 |
2,663 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,261 |
1,185 |
$6K |
| 73630 |
|
633 |
584 |
$6K |
| 71250 |
|
240 |
216 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
122 |
107 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
121 |
106 |
$2K |
| 73610 |
|
183 |
176 |
$2K |
| 73030 |
|
225 |
212 |
$2K |
| 73562 |
|
174 |
153 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
27 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 73130 |
|
136 |
127 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
16 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
67 |
$1K |
| 73110 |
|
69 |
66 |
$834.82 |
| 76536 |
|
26 |
26 |
$770.24 |
| 74018 |
|
70 |
70 |
$334.51 |
| 73502 |
|
61 |
57 |
$328.65 |
| 76642 |
|
14 |
13 |
$291.34 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$263.75 |
| 72110 |
|
15 |
15 |
$251.41 |
| 93970 |
|
13 |
13 |
$243.97 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$190.05 |
| 72100 |
|
15 |
13 |
$186.55 |