| Code | Description | Claims | Beneficiaries | Total Paid |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
530 |
522 |
$12K |
| 76830 |
Ultrasound, transvaginal |
165 |
163 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
327 |
327 |
$3K |
| 76770 |
|
92 |
92 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
81 |
81 |
$2K |
| 76536 |
|
55 |
55 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
70 |
57 |
$586.86 |
| 93975 |
|
13 |
13 |
$578.89 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$399.12 |
| 93971 |
|
13 |
12 |
$173.43 |