| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,178 |
1,122 |
$77K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
863 |
821 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
3,164 |
2,583 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
358 |
322 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
291 |
264 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,510 |
1,409 |
$8K |
| 76830 |
Ultrasound, transvaginal |
256 |
229 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
248 |
230 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
166 |
154 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
141 |
130 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
57 |
$2K |
| 73562 |
|
229 |
189 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
79 |
78 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
52 |
$1K |
| 73610 |
|
101 |
99 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
66 |
62 |
$1K |
| 73630 |
|
117 |
103 |
$1K |
| 76801 |
|
25 |
25 |
$811.90 |
| 74018 |
|
120 |
111 |
$451.83 |
| 72100 |
|
31 |
30 |
$385.15 |
| 73030 |
|
25 |
25 |
$261.36 |
| 73130 |
|
26 |
24 |
$247.26 |
| 73110 |
|
13 |
12 |
$144.30 |
| 93971 |
|
12 |
12 |
$96.93 |