| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,743 |
2,380 |
$82K |
| 76641 |
|
983 |
706 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
3,289 |
2,759 |
$20K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
244 |
191 |
$10K |
| 77080 |
|
1,262 |
965 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
450 |
374 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
174 |
157 |
$6K |
| 76536 |
|
186 |
158 |
$5K |
| 71250 |
|
376 |
300 |
$5K |
| 76830 |
Ultrasound, transvaginal |
134 |
121 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
180 |
146 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
51 |
38 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
90 |
76 |
$2K |
| 72100 |
|
259 |
212 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
54 |
$1K |
| 93970 |
|
17 |
12 |
$955.34 |
| 93000 |
|
167 |
147 |
$872.96 |
| 77066 |
Tomosynthesis, mammo |
18 |
15 |
$836.34 |
| 76770 |
|
30 |
25 |
$671.99 |
| 73521 |
|
331 |
297 |
$397.68 |
| 73120 |
|
334 |
277 |
$348.15 |
| 73560 |
|
57 |
36 |
$160.11 |
| 72040 |
|
18 |
12 |
$87.92 |