| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,176 |
4,979 |
$242K |
| 71045 |
Radiologic examination, chest; single view |
50,291 |
42,800 |
$190K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,960 |
9,394 |
$158K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,187 |
3,778 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
12,409 |
11,958 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,286 |
1,235 |
$50K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
932 |
919 |
$35K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
836 |
826 |
$33K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
714 |
682 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
412 |
405 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,022 |
1,980 |
$24K |
| 74018 |
|
3,937 |
3,717 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,049 |
1,005 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,767 |
1,739 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
356 |
344 |
$13K |
| 73610 |
|
1,729 |
1,620 |
$10K |
| 73630 |
|
1,767 |
1,612 |
$10K |
| 72100 |
|
1,340 |
1,307 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
411 |
392 |
$9K |
| 76642 |
|
382 |
330 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
201 |
198 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
258 |
248 |
$6K |
| 73130 |
|
880 |
816 |
$5K |
| 73110 |
|
828 |
767 |
$5K |
| 76770 |
|
186 |
184 |
$4K |
| 76830 |
Ultrasound, transvaginal |
141 |
136 |
$3K |
| 73030 |
|
600 |
550 |
$3K |
| 73562 |
|
569 |
502 |
$3K |
| 72141 |
|
68 |
68 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
83 |
81 |
$2K |
| 93976 |
|
76 |
73 |
$2K |
| 73560 |
|
368 |
315 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
45 |
37 |
$1K |
| 73502 |
|
213 |
194 |
$916.97 |
| 73221 |
|
13 |
13 |
$580.96 |
| 77080 |
|
258 |
257 |
$297.81 |
| 76536 |
|
14 |
14 |
$231.13 |
| 72040 |
|
27 |
26 |
$219.62 |
| 74019 |
|
29 |
29 |
$177.99 |
| 73590 |
|
27 |
24 |
$156.33 |
| 74022 |
|
13 |
13 |
$144.99 |
| 99152 |
|
158 |
148 |
$141.78 |
| 73090 |
|
20 |
18 |
$111.87 |
| 70310 |
|
12 |
12 |
$80.29 |
| 72170 |
|
14 |
14 |
$70.49 |
| 73140 |
|
15 |
13 |
$38.75 |