| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,565 |
1,459 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
667 |
634 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
529 |
513 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,449 |
2,108 |
$9K |
| 76830 |
Ultrasound, transvaginal |
231 |
226 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,157 |
1,098 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
62 |
$2K |
| 71250 |
|
97 |
94 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
68 |
65 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 76376 |
|
328 |
311 |
$1K |
| 76536 |
|
14 |
14 |
$390.69 |
| 93976 |
|
14 |
13 |
$280.71 |
| 93970 |
|
15 |
12 |
$233.92 |