| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,700 |
2,601 |
$133K |
| 71045 |
Radiologic examination, chest; single view |
29,493 |
25,452 |
$129K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,854 |
4,616 |
$95K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,377 |
3,982 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,516 |
2,391 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
8,120 |
7,869 |
$55K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,189 |
1,149 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
747 |
725 |
$16K |
| 74018 |
|
2,612 |
2,021 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
592 |
584 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
147 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
350 |
321 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
234 |
223 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
183 |
170 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
264 |
198 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
62 |
58 |
$3K |
| 76830 |
Ultrasound, transvaginal |
115 |
111 |
$3K |
| 76642 |
|
106 |
95 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
112 |
109 |
$2K |
| 73630 |
|
273 |
249 |
$1K |
| 76801 |
|
37 |
37 |
$1K |
| 73610 |
|
184 |
164 |
$1K |
| 93976 |
|
47 |
37 |
$863.82 |
| 72100 |
|
120 |
114 |
$807.72 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$701.57 |
| 73030 |
|
94 |
85 |
$475.34 |
| 76377 |
|
28 |
25 |
$442.82 |
| 73130 |
|
72 |
66 |
$410.96 |
| 74019 |
|
53 |
52 |
$394.18 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
12 |
$392.20 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$368.73 |
| 76770 |
|
13 |
12 |
$251.52 |
| 73562 |
|
30 |
29 |
$181.91 |
| 74022 |
|
14 |
12 |
$170.92 |
| 73110 |
|
27 |
24 |
$149.28 |