| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
2,284 |
2,255 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
296 |
294 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,455 |
2,023 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
153 |
153 |
$8K |
| 73630 |
|
877 |
866 |
$7K |
| 73610 |
|
769 |
757 |
$6K |
| 73562 |
|
561 |
558 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
152 |
150 |
$5K |
| 73130 |
|
533 |
520 |
$4K |
| 73030 |
|
507 |
503 |
$4K |
| 74018 |
|
479 |
458 |
$3K |
| 72110 |
|
253 |
253 |
$3K |
| 73110 |
|
414 |
403 |
$3K |
| 71250 |
|
78 |
78 |
$3K |
| 72100 |
|
232 |
232 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
80 |
80 |
$2K |
| 73502 |
|
169 |
167 |
$1K |
| 76536 |
|
42 |
42 |
$1K |
| 72050 |
|
39 |
39 |
$483.53 |
| 73564 |
|
13 |
13 |
$136.72 |
| 72072 |
|
14 |
14 |
$136.70 |
| 72170 |
|
15 |
15 |
$110.38 |
| 72040 |
|
12 |
12 |
$96.20 |
| 73590 |
|
12 |
12 |
$89.96 |