| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,865 |
3,835 |
$15K |
| 74178 |
|
303 |
302 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
759 |
492 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
527 |
397 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,896 |
1,864 |
$5K |
| 76830 |
Ultrasound, transvaginal |
1,243 |
1,227 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
54 |
42 |
$2K |
| 72100 |
|
1,111 |
1,105 |
$1K |
| 73221 |
|
51 |
37 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
311 |
308 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$1K |
| 72141 |
|
16 |
13 |
$607.85 |
| 76536 |
|
24 |
24 |
$602.70 |
| 76770 |
|
49 |
49 |
$555.64 |
| 71046 |
Radiologic examination, chest; 2 views |
314 |
312 |
$544.12 |
| 73562 |
|
482 |
332 |
$514.84 |
| 77080 |
|
14 |
14 |
$491.40 |
| 74170 |
|
12 |
12 |
$428.08 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
192 |
191 |
$423.70 |
| 73030 |
|
199 |
158 |
$336.58 |
| 71020 |
|
24 |
13 |
$236.14 |
| 71048 |
|
168 |
163 |
$222.91 |
| 71250 |
|
25 |
25 |
$112.14 |
| 76801 |
|
28 |
28 |
$78.42 |
| 72040 |
|
121 |
121 |
$51.70 |
| 73130 |
|
48 |
28 |
$25.14 |
| 73630 |
|
59 |
41 |
$24.22 |
| 71045 |
Radiologic examination, chest; single view |
30 |
30 |
$15.89 |
| 73560 |
|
61 |
38 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$0.00 |
| 72070 |
|
13 |
13 |
$0.00 |