| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,596 |
9,323 |
$386K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,947 |
10,755 |
$155K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,724 |
3,190 |
$124K |
| 71045 |
Radiologic examination, chest; single view |
35,619 |
29,240 |
$97K |
| 71046 |
Radiologic examination, chest; 2 views |
13,947 |
12,190 |
$67K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
831 |
732 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,113 |
944 |
$16K |
| 73630 |
|
1,046 |
911 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
202 |
190 |
$3K |
| 73610 |
|
663 |
589 |
$3K |
| 71250 |
|
147 |
129 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
149 |
131 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
243 |
203 |
$2K |
| 73562 |
|
368 |
285 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
65 |
$1K |
| 74018 |
|
375 |
323 |
$1K |
| 76830 |
Ultrasound, transvaginal |
64 |
50 |
$1K |
| 73030 |
|
203 |
167 |
$727.28 |
| 73130 |
|
139 |
123 |
$579.30 |
| 93971 |
|
66 |
54 |
$558.79 |
| 72100 |
|
96 |
85 |
$472.29 |
| 93970 |
|
52 |
37 |
$436.31 |
| 73110 |
|
80 |
70 |
$341.53 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$313.83 |
| 72131 |
|
13 |
13 |
$287.27 |
| 73502 |
|
28 |
24 |
$78.82 |