| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
2,611 |
1,343 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
921 |
888 |
$15K |
| 76506 |
|
313 |
247 |
$12K |
| 74018 |
|
688 |
472 |
$9K |
| 76770 |
|
181 |
171 |
$8K |
| 74019 |
|
191 |
168 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
77 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
41 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
65 |
61 |
$2K |
| 73090 |
|
79 |
62 |
$868.19 |
| 73070 |
|
62 |
56 |
$670.42 |
| 73521 |
|
27 |
27 |
$669.88 |
| 73560 |
|
47 |
41 |
$501.84 |
| 73100 |
|
35 |
30 |
$373.16 |
| 73130 |
|
27 |
24 |
$285.26 |
| 73630 |
|
14 |
13 |
$149.49 |