| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
7,569 |
3,332 |
$48K |
| 70450 |
Computed tomography, head or brain; without contrast material |
482 |
445 |
$44K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,183 |
1,119 |
$28K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
170 |
159 |
$19K |
| 74018 |
|
2,849 |
1,701 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,136 |
1,899 |
$16K |
| 72195 |
|
43 |
43 |
$7K |
| 76770 |
|
161 |
157 |
$6K |
| 74019 |
|
591 |
504 |
$5K |
| 76506 |
|
56 |
38 |
$2K |
| 93975 |
|
29 |
29 |
$1K |
| 74230 |
|
52 |
34 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$965.30 |
| 73090 |
|
82 |
72 |
$808.75 |
| 73080 |
|
52 |
41 |
$588.34 |
| 73630 |
|
13 |
13 |
$207.52 |
| 73100 |
|
13 |
13 |
$150.54 |