| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,376 |
1,343 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
8,303 |
8,120 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,466 |
1,397 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,077 |
1,042 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,060 |
2,634 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
166 |
163 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
154 |
154 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
173 |
171 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
137 |
136 |
$4K |
| 74018 |
|
1,123 |
931 |
$4K |
| 76830 |
Ultrasound, transvaginal |
165 |
164 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
80 |
79 |
$3K |
| 73630 |
|
694 |
597 |
$3K |
| 74022 |
|
257 |
251 |
$2K |
| 73610 |
|
424 |
398 |
$2K |
| 73562 |
|
331 |
275 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
55 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
24 |
$885.66 |
| 72100 |
|
162 |
161 |
$871.86 |
| 76642 |
|
42 |
37 |
$812.58 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
27 |
$705.41 |
| 73130 |
|
158 |
138 |
$678.58 |
| 93971 |
|
66 |
65 |
$580.42 |
| 73030 |
|
138 |
123 |
$579.39 |
| 73221 |
|
14 |
13 |
$553.79 |
| 72141 |
|
14 |
14 |
$445.61 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$358.38 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$316.88 |
| 73110 |
|
59 |
54 |
$269.90 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$261.93 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$250.04 |
| 76770 |
|
12 |
12 |
$203.63 |
| 72110 |
|
12 |
12 |
$87.16 |
| 72040 |
|
12 |
12 |
$62.11 |
| 73140 |
|
12 |
12 |
$51.51 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
155 |
155 |
$0.00 |