| Code | Description | Claims | Beneficiaries | Total Paid |
| 73610 |
|
1,411 |
997 |
$24K |
| 73130 |
|
1,483 |
905 |
$21K |
| 73030 |
|
903 |
579 |
$14K |
| 73564 |
|
676 |
365 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
93 |
75 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,861 |
1,255 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
183 |
142 |
$10K |
| 73562 |
|
579 |
361 |
$9K |
| 73630 |
|
628 |
425 |
$9K |
| 73110 |
|
398 |
285 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
97 |
69 |
$5K |
| 73590 |
|
441 |
340 |
$5K |
| 72100 |
|
308 |
268 |
$5K |
| 72040 |
|
253 |
205 |
$3K |
| 73552 |
|
333 |
232 |
$3K |
| 73502 |
|
301 |
218 |
$3K |
| 72170 |
|
215 |
168 |
$2K |
| 72082 |
|
83 |
77 |
$866.45 |
| 73120 |
|
40 |
13 |
$692.01 |
| 71046 |
Radiologic examination, chest; 2 views |
96 |
89 |
$651.53 |
| 74018 |
|
110 |
74 |
$629.90 |
| 73700 |
|
13 |
12 |
$459.29 |
| 73080 |
|
21 |
12 |
$323.67 |