| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
554 |
519 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
418 |
394 |
$19K |
| 76830 |
Ultrasound, transvaginal |
401 |
389 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,372 |
2,255 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
376 |
366 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,012 |
1,624 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
163 |
157 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
256 |
247 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
46 |
45 |
$5K |
| 99152 |
|
385 |
348 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
90 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
61 |
56 |
$2K |
| 76642 |
|
87 |
73 |
$2K |
| 77065 |
Tomosynthesis, mammo |
64 |
60 |
$1K |
| 77066 |
Tomosynthesis, mammo |
43 |
41 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
39 |
$1K |
| 93970 |
|
52 |
50 |
$801.72 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
14 |
$498.46 |
| 93971 |
|
60 |
57 |
$475.16 |
| 73630 |
|
31 |
28 |
$315.97 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$288.38 |
| 76937 |
|
32 |
28 |
$216.19 |
| 77001 |
|
26 |
25 |
$201.75 |
| 74018 |
|
50 |
44 |
$179.27 |
| 73562 |
|
17 |
15 |
$163.64 |