| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,036 |
4,575 |
$347K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,807 |
1,688 |
$84K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
739 |
703 |
$82K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,864 |
1,701 |
$63K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,294 |
1,999 |
$59K |
| 71045 |
Radiologic examination, chest; single view |
7,275 |
5,983 |
$32K |
| 70486 |
|
694 |
628 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
570 |
479 |
$17K |
| 70498 |
|
139 |
134 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
432 |
419 |
$13K |
| 76642 |
|
603 |
501 |
$13K |
| 77066 |
Tomosynthesis, mammo |
396 |
331 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,699 |
1,562 |
$10K |
| 76801 |
|
305 |
282 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
115 |
99 |
$9K |
| 70496 |
|
83 |
77 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
185 |
178 |
$7K |
| 76830 |
Ultrasound, transvaginal |
206 |
187 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
162 |
149 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
120 |
$3K |
| 77065 |
Tomosynthesis, mammo |
87 |
76 |
$2K |
| 73630 |
|
176 |
149 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
103 |
79 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
96 |
$2K |
| 93975 |
|
58 |
52 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$1K |
| 73562 |
|
115 |
107 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
37 |
37 |
$861.37 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
36 |
29 |
$818.90 |
| 71250 |
|
17 |
16 |
$604.26 |
| 73130 |
|
62 |
57 |
$566.83 |
| 70491 |
|
13 |
12 |
$527.84 |
| 93970 |
|
14 |
13 |
$247.56 |
| 74018 |
|
40 |
24 |
$208.53 |
| 73610 |
|
13 |
13 |
$188.33 |
| 73590 |
|
13 |
13 |
$159.04 |
| 73030 |
|
13 |
12 |
$125.53 |