| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
343 |
321 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
337 |
317 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,632 |
1,576 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
133 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
394 |
385 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,024 |
949 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
136 |
133 |
$5K |
| 73562 |
|
471 |
429 |
$5K |
| 72100 |
|
341 |
333 |
$4K |
| 73030 |
|
382 |
339 |
$3K |
| 76770 |
|
105 |
104 |
$3K |
| 73630 |
|
235 |
208 |
$2K |
| 93970 |
|
87 |
80 |
$1K |
| 73610 |
|
96 |
91 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$1K |
| 73130 |
|
100 |
92 |
$957.12 |
| 76801 |
|
29 |
26 |
$847.24 |
| 74018 |
|
224 |
196 |
$765.40 |
| 73110 |
|
53 |
45 |
$580.31 |
| 72110 |
|
34 |
34 |
$480.49 |
| 73502 |
|
95 |
89 |
$440.36 |
| 71271 |
|
14 |
13 |
$400.07 |
| 72040 |
|
41 |
37 |
$368.49 |
| 71250 |
|
14 |
14 |
$356.46 |
| 93971 |
|
16 |
12 |
$137.96 |
| 73560 |
|
15 |
12 |
$128.58 |
| 73080 |
|
14 |
12 |
$120.50 |