| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
871 |
846 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
5,870 |
4,074 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
917 |
888 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
380 |
369 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
56 |
$5K |
| 93970 |
|
39 |
38 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
38 |
$1K |
| 93971 |
|
74 |
68 |
$962.64 |
| 74018 |
|
34 |
24 |
$299.21 |