| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
955 |
838 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,366 |
2,223 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,010 |
759 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
3,766 |
3,492 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,691 |
1,580 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
515 |
439 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
5,216 |
4,289 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,024 |
898 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
401 |
372 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
465 |
425 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
358 |
321 |
$6K |
| 76830 |
Ultrasound, transvaginal |
292 |
258 |
$5K |
| 76642 |
|
397 |
307 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
218 |
187 |
$4K |
| 74018 |
|
1,024 |
894 |
$4K |
| 76801 |
|
108 |
92 |
$3K |
| 76770 |
|
281 |
254 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
117 |
113 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
165 |
155 |
$2K |
| 76820 |
|
114 |
100 |
$2K |
| 73221 |
|
56 |
55 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
60 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
125 |
81 |
$879.60 |
| 93971 |
|
79 |
66 |
$705.39 |
| 71048 |
|
89 |
78 |
$563.89 |
| 77080 |
|
334 |
315 |
$563.14 |
| 71250 |
|
32 |
24 |
$362.34 |
| 72100 |
|
50 |
47 |
$185.33 |
| 73630 |
|
43 |
40 |
$161.97 |
| 73502 |
|
39 |
30 |
$133.73 |
| 73560 |
|
59 |
54 |
$132.11 |
| 76376 |
|
34 |
24 |
$109.06 |
| 73610 |
|
29 |
26 |
$108.35 |
| 73130 |
|
13 |
12 |
$70.22 |
| 93880 |
|
16 |
15 |
$45.64 |
| 73030 |
|
16 |
12 |
$30.16 |