| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,702 |
4,212 |
$236K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,398 |
3,836 |
$83K |
| 71045 |
Radiologic examination, chest; single view |
16,428 |
13,205 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
7,594 |
6,684 |
$44K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
360 |
312 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
211 |
195 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
516 |
474 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
186 |
169 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
173 |
156 |
$3K |
| 72110 |
|
232 |
205 |
$2K |
| 73564 |
|
200 |
160 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
59 |
53 |
$1K |
| 74018 |
|
235 |
211 |
$1K |
| 73630 |
|
165 |
153 |
$746.31 |
| 73030 |
|
160 |
130 |
$737.79 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$550.34 |
| 73610 |
|
84 |
77 |
$455.09 |
| 73130 |
|
54 |
49 |
$385.59 |
| 73110 |
|
28 |
27 |
$172.00 |
| 93971 |
|
20 |
17 |
$145.14 |