| Code | Description | Claims | Beneficiaries | Total Paid |
| 93975 |
|
270 |
270 |
$32K |
| 93880 |
|
327 |
327 |
$31K |
| 93925 |
|
194 |
193 |
$11K |
| 93970 |
|
247 |
247 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
59 |
59 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
30 |
30 |
$1K |
| 93978 |
|
12 |
12 |
$1K |
| 76536 |
|
28 |
28 |
$834.13 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$207.72 |
| 71045 |
Radiologic examination, chest; single view |
32 |
29 |
$200.55 |
| 76770 |
|
29 |
29 |
$0.00 |
| 93930 |
|
17 |
17 |
$0.00 |