| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,634 |
1,366 |
$213K |
| 73221 |
|
165 |
153 |
$20K |
| 73562 |
|
1,468 |
1,231 |
$16K |
| 73630 |
|
1,513 |
1,293 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
313 |
293 |
$14K |
| 73030 |
|
944 |
857 |
$10K |
| 73130 |
|
926 |
772 |
$9K |
| 73610 |
|
593 |
538 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,733 |
1,451 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
69 |
66 |
$7K |
| 72100 |
|
487 |
456 |
$6K |
| 73718 |
|
67 |
64 |
$5K |
| 73700 |
|
133 |
119 |
$5K |
| 73502 |
|
356 |
328 |
$2K |
| 73560 |
|
211 |
160 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
264 |
247 |
$2K |
| 73110 |
|
135 |
114 |
$2K |
| 73720 |
|
13 |
12 |
$974.05 |
| 73590 |
|
103 |
84 |
$900.42 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
17 |
$713.06 |
| 72040 |
|
53 |
52 |
$667.10 |
| 93976 |
|
14 |
12 |
$338.38 |
| 72170 |
|
19 |
12 |
$114.29 |
| 74018 |
|
18 |
17 |
$49.23 |