| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
586 |
577 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
478 |
459 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,757 |
1,293 |
$8K |
| 78306 |
|
78 |
75 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
577 |
549 |
$3K |
| 76830 |
Ultrasound, transvaginal |
84 |
73 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
70 |
$2K |
| 78227 |
|
70 |
68 |
$2K |
| 74018 |
|
257 |
211 |
$984.67 |
| 93976 |
|
38 |
38 |
$756.23 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
42 |
$684.81 |
| 76770 |
|
13 |
13 |
$429.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$324.28 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$301.66 |
| 74420 |
|
12 |
12 |
$144.41 |