| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
1,148 |
1,140 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
315 |
312 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
571 |
565 |
$4K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$348.37 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$315.79 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
16 |
$234.31 |
| 93971 |
|
13 |
12 |
$190.09 |
| 73630 |
|
15 |
13 |
$56.82 |