| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,044 |
1,025 |
$52K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,275 |
1,215 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,246 |
3,023 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
388 |
380 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
399 |
394 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
323 |
319 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,898 |
1,225 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
518 |
488 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
409 |
379 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
352 |
345 |
$7K |
| 76830 |
Ultrasound, transvaginal |
324 |
319 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
291 |
290 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
270 |
260 |
$5K |
| 74019 |
|
520 |
487 |
$3K |
| 93971 |
|
247 |
237 |
$3K |
| 70486 |
|
110 |
110 |
$3K |
| 74018 |
|
385 |
324 |
$2K |
| 73130 |
|
396 |
376 |
$2K |
| 72100 |
|
313 |
306 |
$2K |
| 93970 |
|
95 |
92 |
$2K |
| 73562 |
|
316 |
294 |
$2K |
| 73630 |
|
349 |
331 |
$2K |
| 73610 |
|
308 |
295 |
$2K |
| 73030 |
|
275 |
257 |
$1K |
| 74022 |
|
152 |
150 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
27 |
$1K |
| 76770 |
|
64 |
63 |
$1K |
| 72170 |
|
168 |
167 |
$852.97 |
| 71250 |
|
30 |
29 |
$852.68 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$549.29 |
| 73120 |
|
114 |
113 |
$499.33 |
| 93975 |
|
15 |
14 |
$495.69 |
| 73090 |
|
71 |
67 |
$332.07 |
| 73110 |
|
63 |
62 |
$317.35 |
| 73620 |
|
73 |
71 |
$304.36 |
| 76642 |
|
15 |
13 |
$292.14 |
| 73560 |
|
51 |
48 |
$232.32 |
| 73590 |
|
44 |
42 |
$200.03 |
| 71101 |
|
24 |
24 |
$180.72 |
| 73600 |
|
24 |
24 |
$130.74 |
| 70360 |
|
17 |
17 |
$82.19 |
| 73080 |
|
12 |
12 |
$59.40 |