| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
996 |
929 |
$75K |
| 71045 |
Radiologic examination, chest; single view |
5,939 |
4,515 |
$29K |
| 76770 |
|
657 |
633 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,752 |
2,585 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
309 |
285 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
168 |
157 |
$15K |
| 74018 |
|
2,750 |
2,219 |
$15K |
| 73630 |
|
1,199 |
1,044 |
$13K |
| 73610 |
|
860 |
743 |
$13K |
| 73110 |
|
824 |
729 |
$9K |
| 73080 |
|
831 |
680 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
346 |
329 |
$7K |
| 73090 |
|
743 |
616 |
$7K |
| 76506 |
|
136 |
105 |
$4K |
| 73562 |
|
305 |
284 |
$3K |
| 73130 |
|
325 |
279 |
$3K |
| 73590 |
|
284 |
242 |
$3K |
| 72082 |
|
276 |
258 |
$3K |
| 73030 |
|
210 |
187 |
$2K |
| 72170 |
|
177 |
140 |
$1K |
| 72100 |
|
81 |
78 |
$1K |
| 93976 |
|
39 |
38 |
$807.97 |
| 73560 |
|
60 |
46 |
$650.62 |
| 73100 |
|
53 |
43 |
$612.75 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$605.12 |
| 73552 |
|
40 |
25 |
$270.78 |
| 77073 |
|
27 |
27 |
$247.86 |
| 72081 |
|
27 |
27 |
$217.50 |
| 73140 |
|
17 |
12 |
$143.43 |
| 77072 |
|
13 |
12 |
$105.72 |