| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,086 |
3,928 |
$205K |
| 71045 |
Radiologic examination, chest; single view |
39,312 |
33,542 |
$177K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,618 |
7,195 |
$167K |
| 71046 |
Radiologic examination, chest; 2 views |
19,747 |
18,881 |
$132K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,479 |
2,350 |
$111K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,169 |
4,049 |
$111K |
| 74018 |
|
6,267 |
6,067 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,595 |
1,565 |
$31K |
| 74178 |
|
512 |
485 |
$27K |
| 76830 |
Ultrasound, transvaginal |
1,076 |
1,047 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
496 |
453 |
$24K |
| 73610 |
|
2,803 |
2,681 |
$16K |
| 73630 |
|
2,827 |
2,677 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
795 |
767 |
$14K |
| 73110 |
|
2,007 |
1,866 |
$12K |
| 76642 |
|
462 |
390 |
$9K |
| 72100 |
|
1,281 |
1,244 |
$9K |
| 73030 |
|
1,477 |
1,378 |
$8K |
| 73130 |
|
1,232 |
1,121 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
197 |
187 |
$6K |
| 93976 |
|
247 |
244 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
141 |
132 |
$4K |
| 73562 |
|
700 |
651 |
$4K |
| 73560 |
|
590 |
477 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
49 |
49 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
78 |
77 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
68 |
65 |
$2K |
| 76770 |
|
79 |
74 |
$2K |
| 76641 |
|
66 |
53 |
$1K |
| 71250 |
|
37 |
37 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$1K |
| 77065 |
Tomosynthesis, mammo |
38 |
38 |
$916.97 |
| 73502 |
|
98 |
95 |
$574.70 |
| 73140 |
|
113 |
108 |
$541.12 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$422.82 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$348.48 |
| 72040 |
|
27 |
26 |
$212.44 |
| 76376 |
|
36 |
34 |
$200.30 |
| 74022 |
|
14 |
13 |
$122.04 |
| 73590 |
|
14 |
13 |
$92.85 |