| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
355 |
328 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,586 |
2,579 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
362 |
287 |
$11K |
| 93976 |
|
499 |
459 |
$11K |
| 76830 |
Ultrasound, transvaginal |
344 |
278 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,460 |
1,387 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
359 |
355 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
161 |
137 |
$7K |
| 76770 |
|
216 |
213 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
193 |
192 |
$6K |
| 74420 |
|
256 |
214 |
$4K |
| 73562 |
|
259 |
212 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
78 |
71 |
$3K |
| 73610 |
|
131 |
121 |
$3K |
| 73630 |
|
171 |
158 |
$2K |
| 76536 |
|
61 |
47 |
$2K |
| 74328 |
|
105 |
98 |
$2K |
| 74018 |
|
339 |
286 |
$2K |
| 73110 |
|
73 |
59 |
$1K |
| 73130 |
|
93 |
82 |
$1K |
| 73030 |
|
99 |
89 |
$1K |
| 72110 |
|
43 |
41 |
$905.08 |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
16 |
$795.81 |
| 36573 |
|
14 |
13 |
$528.35 |
| 73502 |
|
44 |
43 |
$517.94 |
| 99152 |
|
66 |
58 |
$413.69 |
| 72100 |
|
29 |
29 |
$381.27 |
| 73140 |
|
15 |
15 |
$343.14 |
| 73600 |
|
12 |
12 |
$161.25 |