| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,183 |
1,162 |
$58K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,616 |
1,615 |
$53K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
637 |
624 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
3,698 |
3,599 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,019 |
999 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
2,969 |
2,664 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
451 |
451 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
229 |
219 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
452 |
451 |
$8K |
| 74018 |
|
639 |
626 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
202 |
200 |
$4K |
| 76830 |
Ultrasound, transvaginal |
237 |
236 |
$4K |
| 73630 |
|
858 |
824 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
259 |
256 |
$4K |
| 76641 |
|
147 |
146 |
$4K |
| 73610 |
|
724 |
696 |
$3K |
| 76801 |
|
74 |
70 |
$3K |
| 73030 |
|
562 |
543 |
$3K |
| 73130 |
|
544 |
525 |
$2K |
| 73564 |
|
357 |
339 |
$2K |
| 74019 |
|
269 |
267 |
$2K |
| 72110 |
|
241 |
241 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
40 |
$2K |
| 73110 |
|
332 |
321 |
$2K |
| 73562 |
|
262 |
252 |
$2K |
| 72100 |
|
201 |
201 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
26 |
$988.87 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$943.51 |
| 73502 |
|
88 |
88 |
$699.55 |
| 72050 |
|
45 |
44 |
$346.33 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$256.44 |
| 76775 |
|
13 |
13 |
$171.18 |
| 93971 |
|
13 |
13 |
$164.40 |
| 76536 |
|
12 |
12 |
$154.64 |
| 73080 |
|
12 |
12 |
$52.63 |