| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,690 |
1,574 |
$113K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,453 |
1,408 |
$68K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
389 |
373 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
6,483 |
5,985 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
575 |
552 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,153 |
3,808 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
398 |
356 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
521 |
511 |
$10K |
| 73630 |
|
720 |
577 |
$8K |
| 73610 |
|
527 |
456 |
$7K |
| 73130 |
|
604 |
475 |
$6K |
| 93976 |
|
248 |
232 |
$5K |
| 73564 |
|
349 |
272 |
$4K |
| 73030 |
|
366 |
304 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
64 |
62 |
$2K |
| 73110 |
|
165 |
131 |
$2K |
| 76830 |
Ultrasound, transvaginal |
52 |
50 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
40 |
38 |
$1K |
| 72100 |
|
43 |
43 |
$516.52 |
| 93971 |
|
43 |
41 |
$484.49 |
| 76801 |
|
14 |
13 |
$401.96 |
| 74018 |
|
79 |
73 |
$354.14 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$327.84 |
| 73080 |
|
15 |
15 |
$143.09 |