| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,219 |
2,073 |
$176K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,919 |
2,742 |
$142K |
| 71045 |
Radiologic examination, chest; single view |
14,278 |
12,547 |
$91K |
| 71046 |
Radiologic examination, chest; 2 views |
9,933 |
8,486 |
$80K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,471 |
1,410 |
$29K |
| 74022 |
|
2,035 |
1,902 |
$29K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
215 |
207 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,290 |
1,242 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
264 |
244 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
296 |
269 |
$11K |
| 72100 |
|
932 |
842 |
$8K |
| 74018 |
|
822 |
741 |
$6K |
| 71010 |
|
391 |
358 |
$5K |
| 71020 |
|
347 |
311 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
81 |
76 |
$5K |
| 72141 |
|
25 |
25 |
$3K |
| 71250 |
|
69 |
68 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
100 |
89 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
26 |
$3K |
| 72040 |
|
256 |
232 |
$2K |
| 76642 |
|
77 |
65 |
$1K |
| 73630 |
|
46 |
40 |
$559.07 |
| 74178 |
|
15 |
14 |
$555.33 |
| 76801 |
|
15 |
13 |
$474.65 |
| 73130 |
|
29 |
26 |
$334.54 |
| 73562 |
|
46 |
39 |
$325.55 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
12 |
$322.74 |
| 73610 |
|
23 |
20 |
$290.07 |
| 73030 |
|
25 |
25 |
$243.54 |
| 73110 |
|
13 |
12 |
$123.49 |
| 72070 |
|
12 |
12 |
$98.70 |
| 73560 |
|
12 |
12 |
$90.72 |