| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
6,898 |
5,068 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
2,417 |
2,313 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
292 |
281 |
$10K |
| 73564 |
|
705 |
615 |
$8K |
| 72110 |
|
301 |
294 |
$4K |
| 73610 |
|
244 |
236 |
$3K |
| 73030 |
|
325 |
310 |
$3K |
| 74018 |
|
744 |
640 |
$3K |
| 73560 |
|
253 |
236 |
$2K |
| 73630 |
|
170 |
166 |
$2K |
| 73502 |
|
252 |
240 |
$1K |
| 73562 |
|
90 |
90 |
$821.31 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
37 |
$567.82 |
| 73110 |
|
56 |
53 |
$531.12 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$353.40 |
| 72100 |
|
14 |
13 |
$194.95 |
| 73130 |
|
14 |
13 |
$115.55 |
| 73552 |
|
14 |
14 |
$55.19 |