| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,940 |
1,825 |
$125K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,199 |
1,102 |
$54K |
| 71045 |
Radiologic examination, chest; single view |
2,781 |
2,443 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,865 |
1,764 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
260 |
238 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
250 |
238 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
177 |
159 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
138 |
126 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
199 |
188 |
$4K |
| 76830 |
Ultrasound, transvaginal |
84 |
82 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
71 |
71 |
$3K |
| 73562 |
|
113 |
94 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
26 |
$588.17 |
| 74018 |
|
66 |
56 |
$269.55 |
| 73610 |
|
19 |
13 |
$268.91 |
| 73030 |
|
28 |
27 |
$229.17 |
| 72100 |
|
18 |
17 |
$222.48 |
| 73630 |
|
15 |
13 |
$141.57 |
| 73110 |
|
17 |
14 |
$133.50 |
| 93970 |
|
12 |
12 |
$121.66 |
| 73130 |
|
15 |
12 |
$107.53 |
| 93971 |
|
15 |
15 |
$98.49 |