| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
889 |
848 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
6,704 |
4,097 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
411 |
383 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
282 |
270 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
541 |
526 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,704 |
1,637 |
$10K |
| 76801 |
|
284 |
267 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
280 |
266 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
214 |
203 |
$6K |
| 76830 |
Ultrasound, transvaginal |
160 |
141 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
253 |
243 |
$4K |
| 93970 |
|
323 |
307 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
132 |
123 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
206 |
158 |
$3K |
| 73630 |
|
235 |
209 |
$2K |
| 73610 |
|
165 |
145 |
$2K |
| 73130 |
|
224 |
186 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
19 |
$2K |
| 76642 |
|
99 |
89 |
$2K |
| 73562 |
|
179 |
153 |
$2K |
| 73030 |
|
148 |
132 |
$2K |
| 72100 |
|
119 |
116 |
$1K |
| 77065 |
Tomosynthesis, mammo |
28 |
26 |
$883.49 |
| 93880 |
|
100 |
99 |
$819.05 |
| 77066 |
Tomosynthesis, mammo |
27 |
26 |
$800.30 |
| 74018 |
|
215 |
180 |
$746.49 |
| 73590 |
|
61 |
51 |
$587.58 |
| 76775 |
|
27 |
27 |
$571.73 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$557.46 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$510.86 |
| 93971 |
|
62 |
58 |
$498.12 |
| 76770 |
|
15 |
15 |
$441.59 |
| 77080 |
|
45 |
45 |
$404.25 |
| 93975 |
|
14 |
12 |
$355.55 |
| 76536 |
|
12 |
12 |
$353.10 |
| 77085 |
|
26 |
26 |
$146.57 |
| 73502 |
|
27 |
24 |
$128.25 |
| 73110 |
|
15 |
12 |
$111.30 |
| 72170 |
|
16 |
13 |
$104.04 |