| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
28,037 |
14,146 |
$80K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,209 |
2,518 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,489 |
4,870 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,314 |
1,160 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
931 |
803 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
756 |
552 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
884 |
739 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,012 |
838 |
$13K |
| 93970 |
|
1,419 |
1,122 |
$12K |
| 71250 |
|
1,849 |
1,418 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
854 |
736 |
$10K |
| 76801 |
|
372 |
335 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,200 |
1,062 |
$8K |
| 70498 |
|
135 |
111 |
$4K |
| 76770 |
|
984 |
730 |
$4K |
| 76830 |
Ultrasound, transvaginal |
150 |
144 |
$3K |
| 74018 |
|
1,029 |
670 |
$3K |
| 73630 |
|
690 |
528 |
$3K |
| 72100 |
|
353 |
330 |
$2K |
| 76775 |
|
296 |
248 |
$2K |
| 72170 |
|
299 |
231 |
$2K |
| 93971 |
|
195 |
160 |
$2K |
| 73562 |
|
388 |
312 |
$1K |
| 70486 |
|
157 |
123 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
77 |
63 |
$1K |
| 74022 |
|
226 |
143 |
$822.90 |
| 93880 |
|
101 |
81 |
$783.00 |
| 73610 |
|
188 |
162 |
$666.03 |
| 73130 |
|
151 |
132 |
$663.43 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$562.02 |
| 73030 |
|
149 |
123 |
$436.93 |
| 72131 |
|
15 |
13 |
$367.67 |
| 74230 |
|
270 |
192 |
$279.39 |
| 93318 |
|
32 |
29 |
$279.00 |
| 73560 |
|
32 |
25 |
$70.80 |
| 73502 |
|
76 |
52 |
$70.48 |
| 73590 |
|
13 |
12 |
$60.93 |
| 73552 |
|
13 |
13 |
$36.37 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
22 |
$0.00 |
| 76857 |
|
18 |
17 |
$0.00 |