| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
1,314 |
1,308 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
407 |
406 |
$17K |
| 73562 |
|
549 |
406 |
$7K |
| 72100 |
|
305 |
302 |
$4K |
| 73030 |
|
141 |
130 |
$2K |
| 71250 |
|
28 |
28 |
$2K |
| 73630 |
|
135 |
102 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$990.32 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$439.40 |