| Code | Description | Claims | Beneficiaries | Total Paid |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
189 |
162 |
$7K |
| 76830 |
Ultrasound, transvaginal |
188 |
162 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
199 |
169 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
894 |
640 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
399 |
383 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
44 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
45 |
44 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
88 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
24 |
$2K |
| 76642 |
|
48 |
43 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
50 |
44 |
$1K |
| 93970 |
|
75 |
72 |
$684.43 |
| 93971 |
|
44 |
39 |
$628.54 |
| 77066 |
Tomosynthesis, mammo |
17 |
15 |
$617.09 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$467.35 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$443.38 |
| 73562 |
|
19 |
15 |
$204.01 |
| 72100 |
|
14 |
14 |
$200.90 |
| 73130 |
|
14 |
12 |
$125.29 |
| 74018 |
|
28 |
26 |
$109.40 |