| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,791 |
3,693 |
$330K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,981 |
2,904 |
$219K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,438 |
5,242 |
$198K |
| 71045 |
Radiologic examination, chest; single view |
17,224 |
14,688 |
$136K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,413 |
1,372 |
$38K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
641 |
636 |
$32K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
360 |
355 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
387 |
387 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
179 |
176 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,201 |
1,183 |
$12K |
| 71250 |
|
169 |
167 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
180 |
180 |
$6K |
| 70496 |
|
60 |
60 |
$6K |
| 70498 |
|
52 |
52 |
$5K |
| 70486 |
|
104 |
104 |
$5K |
| 74018 |
|
498 |
461 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
111 |
104 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
102 |
102 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
41 |
$3K |
| 73562 |
|
303 |
276 |
$3K |
| 73030 |
|
276 |
259 |
$3K |
| 73630 |
|
315 |
286 |
$3K |
| 72100 |
|
211 |
210 |
$2K |
| 73610 |
|
262 |
253 |
$2K |
| 93976 |
|
55 |
55 |
$2K |
| 73130 |
|
206 |
183 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
41 |
40 |
$2K |
| 93971 |
|
78 |
78 |
$2K |
| 73700 |
|
30 |
29 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$2K |
| 76641 |
|
26 |
25 |
$2K |
| 93970 |
|
35 |
35 |
$1K |
| 76770 |
|
37 |
37 |
$1K |
| 76536 |
|
41 |
40 |
$1K |
| 73110 |
|
119 |
113 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$931.34 |
| 72131 |
|
14 |
14 |
$733.72 |
| 73090 |
|
60 |
57 |
$537.03 |
| 72040 |
|
42 |
42 |
$530.93 |
| 77080 |
|
41 |
41 |
$456.36 |
| 93880 |
|
40 |
32 |
$444.52 |
| 73590 |
|
50 |
44 |
$412.96 |
| 76857 |
|
13 |
13 |
$315.61 |
| 73140 |
|
36 |
36 |
$286.56 |
| 73502 |
|
15 |
15 |
$190.80 |
| 72170 |
|
15 |
15 |
$149.40 |
| 73080 |
|
14 |
14 |
$139.44 |