| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,265 |
1,168 |
$80K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
981 |
888 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
4,522 |
3,124 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
448 |
434 |
$15K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
372 |
334 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,159 |
1,071 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
128 |
113 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
136 |
127 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
62 |
57 |
$2K |
| 76830 |
Ultrasound, transvaginal |
44 |
37 |
$2K |
| 74018 |
|
358 |
254 |
$1K |
| 70486 |
|
43 |
32 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
29 |
$825.44 |
| 73610 |
|
59 |
53 |
$680.87 |
| 73630 |
|
73 |
67 |
$674.26 |
| 73130 |
|
67 |
60 |
$579.59 |
| 73030 |
|
18 |
17 |
$166.50 |
| 72100 |
|
12 |
12 |
$160.26 |
| 73562 |
|
15 |
14 |
$134.59 |