| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,380 |
1,341 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
4,853 |
4,819 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
6,282 |
5,126 |
$24K |
| 93976 |
|
636 |
632 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
379 |
377 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
233 |
232 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
169 |
168 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
132 |
128 |
$2K |
| 73630 |
|
356 |
324 |
$2K |
| 73130 |
|
319 |
281 |
$2K |
| 74022 |
|
160 |
157 |
$1K |
| 76830 |
Ultrasound, transvaginal |
51 |
51 |
$1K |
| 73610 |
|
250 |
234 |
$1K |
| 76770 |
|
57 |
56 |
$1K |
| 73560 |
|
260 |
220 |
$955.47 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$569.30 |
| 73502 |
|
82 |
79 |
$405.30 |
| 73110 |
|
72 |
66 |
$349.62 |
| 72110 |
|
41 |
41 |
$342.16 |
| 73030 |
|
69 |
65 |
$336.01 |
| 72100 |
|
54 |
54 |
$325.60 |
| 93970 |
|
13 |
13 |
$163.02 |
| 73564 |
|
16 |
16 |
$126.60 |
| 77080 |
|
13 |
13 |
$92.78 |
| 74018 |
|
15 |
14 |
$74.92 |
| 73080 |
|
14 |
12 |
$73.62 |
| 74019 |
|
12 |
12 |
$68.85 |
| 73590 |
|
13 |
13 |
$56.62 |