| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,034 |
8,908 |
$215K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,393 |
13,550 |
$212K |
| 71045 |
Radiologic examination, chest; single view |
47,024 |
38,556 |
$116K |
| 71046 |
Radiologic examination, chest; 2 views |
23,678 |
21,964 |
$92K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
587 |
549 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,682 |
1,626 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
638 |
552 |
$12K |
| 74018 |
|
2,673 |
2,306 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,262 |
1,219 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
317 |
282 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
91 |
90 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
97 |
83 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
105 |
103 |
$3K |
| 76801 |
|
55 |
53 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
130 |
116 |
$3K |
| 73630 |
|
582 |
530 |
$3K |
| 73610 |
|
435 |
415 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
96 |
93 |
$2K |
| 73562 |
|
332 |
287 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
40 |
$1K |
| 71250 |
|
55 |
51 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
45 |
40 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
17 |
$1K |
| 73130 |
|
185 |
165 |
$910.69 |
| 99152 |
|
296 |
247 |
$827.54 |
| 73030 |
|
123 |
117 |
$539.16 |
| 73110 |
|
79 |
70 |
$356.26 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$289.19 |
| 73502 |
|
93 |
89 |
$272.46 |
| 76642 |
|
12 |
12 |
$229.70 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
12 |
$169.26 |
| 72100 |
|
12 |
12 |
$24.48 |