| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
2,743 |
2,471 |
$152K |
| 77066 |
Tomosynthesis, mammo |
2,350 |
2,132 |
$149K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,059 |
1,922 |
$101K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,180 |
2,005 |
$82K |
| 76881 |
|
1,774 |
1,212 |
$70K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,222 |
1,102 |
$35K |
| 76830 |
Ultrasound, transvaginal |
1,236 |
1,099 |
$35K |
| 93970 |
|
169 |
155 |
$26K |
| 76536 |
|
850 |
748 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,728 |
1,570 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
169 |
158 |
$12K |
| 73560 |
|
1,203 |
752 |
$11K |
| 72100 |
|
932 |
836 |
$9K |
| 93925 |
|
37 |
37 |
$8K |
| 76770 |
|
476 |
401 |
$7K |
| 77080 |
|
298 |
246 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
152 |
122 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
114 |
96 |
$2K |
| 72040 |
|
206 |
183 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
461 |
421 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
18 |
13 |
$1K |
| 73620 |
|
67 |
40 |
$230.47 |
| 73030 |
|
35 |
25 |
$164.16 |
| 74018 |
|
78 |
65 |
$138.34 |
| 72083 |
|
34 |
25 |
$124.58 |