| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
399 |
380 |
$19K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
152 |
136 |
$16K |
| 93976 |
|
604 |
533 |
$13K |
| 76830 |
Ultrasound, transvaginal |
287 |
237 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,080 |
1,439 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
301 |
250 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
272 |
251 |
$6K |
| 71250 |
|
193 |
173 |
$6K |
| 93970 |
|
334 |
310 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
119 |
116 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
697 |
670 |
$4K |
| 76770 |
|
105 |
103 |
$3K |
| 93971 |
|
175 |
156 |
$2K |
| 74018 |
|
303 |
268 |
$1K |
| 76536 |
|
17 |
17 |
$532.74 |
| 76801 |
|
14 |
12 |
$417.46 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$370.19 |
| 73030 |
|
15 |
13 |
$157.07 |