| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
1,338 |
1,336 |
$152K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
262 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
206 |
194 |
$22K |
| 73562 |
|
257 |
232 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
292 |
292 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$5K |
| 76641 |
|
49 |
36 |
$5K |
| 76770 |
|
43 |
43 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$2K |
| 73630 |
|
47 |
44 |
$1K |
| 71250 |
|
12 |
12 |
$1K |
| 76642 |
|
14 |
12 |
$1K |
| 77080 |
|
14 |
14 |
$683.28 |
| 76775 |
|
14 |
14 |
$676.77 |
| 76857 |
|
12 |
12 |
$474.70 |
| 73110 |
|
13 |
13 |
$418.55 |
| 73130 |
|
14 |
12 |
$288.85 |