| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,036 |
975 |
$52K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,229 |
1,144 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
2,118 |
1,959 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
497 |
465 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,785 |
1,545 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
430 |
402 |
$11K |
| 93975 |
|
69 |
67 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
336 |
329 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
179 |
178 |
$5K |
| 71270 |
|
89 |
87 |
$5K |
| 74018 |
|
382 |
357 |
$4K |
| 73562 |
|
526 |
438 |
$2K |
| 73030 |
|
492 |
431 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$2K |
| 73130 |
|
465 |
386 |
$1K |
| 73610 |
|
386 |
335 |
$1K |
| 70486 |
|
28 |
27 |
$941.87 |
| 73110 |
|
256 |
224 |
$935.98 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
27 |
$821.33 |
| 73630 |
|
274 |
248 |
$795.04 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$509.26 |
| 72100 |
|
74 |
70 |
$497.77 |
| 93971 |
|
42 |
41 |
$371.25 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$361.26 |
| 72110 |
|
13 |
13 |
$132.56 |
| 73502 |
|
18 |
17 |
$65.44 |
| 73070 |
|
12 |
12 |
$44.52 |