| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,843 |
2,694 |
$151K |
| 71045 |
Radiologic examination, chest; single view |
16,180 |
13,778 |
$86K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,537 |
2,422 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
4,597 |
4,417 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
344 |
327 |
$12K |
| 74018 |
|
531 |
463 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
120 |
107 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
70 |
65 |
$3K |
| 76377 |
|
49 |
48 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
36 |
$792.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$626.87 |
| 76376 |
|
61 |
55 |
$383.57 |
| 72100 |
|
58 |
56 |
$379.35 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$334.20 |
| 73630 |
|
42 |
38 |
$242.35 |
| 73610 |
|
40 |
37 |
$235.56 |
| 73562 |
|
13 |
12 |
$83.61 |