| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,141 |
1,028 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
650 |
611 |
$29K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
368 |
319 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
236 |
211 |
$21K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
170 |
166 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
218 |
201 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
252 |
236 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,524 |
1,396 |
$7K |
| 70498 |
|
68 |
61 |
$6K |
| 70496 |
|
64 |
57 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
599 |
555 |
$4K |
| 71271 |
|
66 |
51 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
90 |
$2K |
| 70486 |
|
28 |
27 |
$927.41 |
| 73130 |
|
84 |
75 |
$747.53 |
| 74018 |
|
157 |
150 |
$688.42 |
| 71250 |
|
20 |
14 |
$628.54 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
19 |
14 |
$610.19 |
| 76536 |
|
15 |
15 |
$423.37 |
| 73030 |
|
41 |
38 |
$416.56 |
| 73630 |
|
30 |
24 |
$239.77 |
| 72100 |
|
15 |
14 |
$204.29 |
| 73610 |
|
12 |
12 |
$172.20 |