| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
100 |
99 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
115 |
105 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
228 |
197 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
398 |
368 |
$3K |
| 76830 |
Ultrasound, transvaginal |
90 |
86 |
$2K |
| 76801 |
|
67 |
64 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
79 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
214 |
186 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$959.06 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$768.48 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$605.82 |
| 73630 |
|
86 |
82 |
$568.33 |
| 73130 |
|
79 |
74 |
$514.70 |
| 73610 |
|
64 |
61 |
$438.82 |
| 73562 |
|
58 |
52 |
$433.34 |
| 70486 |
|
15 |
14 |
$431.30 |
| 73030 |
|
55 |
53 |
$430.39 |
| 93971 |
|
19 |
19 |
$357.58 |
| 73110 |
|
15 |
14 |
$82.65 |