| Code | Description | Claims | Beneficiaries | Total Paid |
| 93975 |
|
2,097 |
2,045 |
$218K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,982 |
1,980 |
$148K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
830 |
829 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
5,476 |
4,473 |
$23K |
| 76536 |
|
250 |
250 |
$17K |
| 95923 |
|
161 |
161 |
$13K |
| 93880 |
|
107 |
107 |
$11K |
| 93922 |
|
160 |
160 |
$11K |
| 76830 |
Ultrasound, transvaginal |
140 |
140 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
166 |
164 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
994 |
990 |
$7K |
| 73562 |
|
818 |
611 |
$4K |
| 95921 |
|
81 |
81 |
$3K |
| 93970 |
|
33 |
33 |
$3K |
| 76770 |
|
160 |
160 |
$3K |
| 76775 |
|
70 |
70 |
$2K |
| 73030 |
|
403 |
349 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
114 |
113 |
$1K |
| 73130 |
|
234 |
198 |
$1K |
| 73610 |
|
185 |
159 |
$1K |
| 73630 |
|
201 |
169 |
$766.39 |
| 73110 |
|
129 |
111 |
$597.08 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$574.61 |
| 73502 |
|
63 |
63 |
$375.60 |
| 73590 |
|
79 |
63 |
$313.29 |
| 72100 |
|
35 |
35 |
$182.30 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$141.57 |
| 72170 |
|
44 |
43 |
$119.25 |