| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
2,640 |
2,427 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
158 |
143 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,522 |
1,043 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
73 |
63 |
$2K |
| 76942 |
|
110 |
92 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
26 |
$946.62 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$432.14 |