| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,025 |
3,724 |
$202K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,931 |
6,461 |
$140K |
| 71046 |
Radiologic examination, chest; 2 views |
19,121 |
17,533 |
$129K |
| 71045 |
Radiologic examination, chest; single view |
27,319 |
21,008 |
$107K |
| 93976 |
|
2,598 |
2,206 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
814 |
768 |
$30K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,639 |
1,458 |
$23K |
| 74018 |
|
3,477 |
3,134 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
445 |
413 |
$14K |
| 76770 |
|
446 |
413 |
$8K |
| 71250 |
|
339 |
301 |
$6K |
| 93975 |
|
153 |
136 |
$6K |
| 73560 |
|
883 |
798 |
$4K |
| 70210 |
|
474 |
456 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
150 |
143 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
185 |
159 |
$3K |
| 73630 |
|
552 |
503 |
$3K |
| 70360 |
|
375 |
359 |
$3K |
| 73610 |
|
253 |
234 |
$2K |
| 93971 |
|
139 |
129 |
$1K |
| 72100 |
|
215 |
215 |
$1K |
| 74019 |
|
144 |
124 |
$1K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
13 |
$1K |
| 74178 |
|
17 |
16 |
$1K |
| 73130 |
|
152 |
141 |
$1K |
| 76641 |
|
50 |
39 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
27 |
$966.26 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$843.70 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$597.36 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
26 |
$573.23 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$468.38 |
| 72082 |
|
27 |
26 |
$367.57 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$339.96 |
| 73030 |
|
79 |
65 |
$335.58 |
| 73110 |
|
36 |
27 |
$190.74 |
| 72040 |
|
26 |
24 |
$181.38 |
| 73502 |
|
28 |
25 |
$135.01 |
| 99152 |
|
19 |
15 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
101 |
88 |
$0.00 |