| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
854 |
678 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
638 |
582 |
$48K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
591 |
591 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
628 |
606 |
$17K |
| 76801 |
|
577 |
524 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,513 |
1,471 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
365 |
365 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
470 |
384 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
511 |
503 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
377 |
374 |
$11K |
| 73630 |
|
478 |
366 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
708 |
639 |
$4K |
| 73562 |
|
523 |
461 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
64 |
$4K |
| 73610 |
|
370 |
328 |
$3K |
| 76770 |
|
111 |
111 |
$3K |
| 76641 |
|
56 |
54 |
$2K |
| 73080 |
|
205 |
178 |
$2K |
| 73110 |
|
223 |
196 |
$2K |
| 73130 |
|
136 |
127 |
$1K |
| 74022 |
|
85 |
85 |
$1K |
| 73030 |
|
148 |
141 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
37 |
$1K |
| 72100 |
|
73 |
72 |
$873.72 |
| 76380 |
|
19 |
18 |
$866.67 |
| 72110 |
|
52 |
52 |
$752.48 |
| 74018 |
|
71 |
69 |
$633.57 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
12 |
$567.86 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$520.32 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
13 |
$480.32 |
| 76970 |
|
27 |
27 |
$454.59 |
| 72072 |
|
42 |
41 |
$410.58 |
| 73090 |
|
44 |
40 |
$387.79 |
| 76000 |
|
20 |
19 |
$244.72 |
| 73502 |
|
27 |
24 |
$242.40 |
| 72040 |
|
25 |
25 |
$223.97 |
| 73140 |
|
34 |
30 |
$213.44 |
| 73620 |
|
19 |
13 |
$138.27 |