| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
905 |
842 |
$52K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
856 |
832 |
$36K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
182 |
181 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,739 |
2,322 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
259 |
252 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
494 |
469 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,462 |
1,389 |
$7K |
| 76830 |
Ultrasound, transvaginal |
192 |
186 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
83 |
82 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
157 |
137 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
60 |
57 |
$2K |
| 93970 |
|
75 |
74 |
$987.44 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$873.11 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$445.89 |
| 73564 |
|
33 |
24 |
$386.09 |
| 73030 |
|
20 |
13 |
$261.03 |
| 71250 |
|
12 |
12 |
$249.34 |
| 73610 |
|
13 |
13 |
$188.25 |
| 73630 |
|
16 |
16 |
$164.53 |
| 72100 |
|
13 |
13 |
$133.37 |