| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
49 |
43 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
878 |
853 |
$7K |
| 73630 |
|
406 |
351 |
$7K |
| 73221 |
|
42 |
39 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
68 |
67 |
$4K |
| 73610 |
|
183 |
164 |
$4K |
| 73030 |
|
181 |
154 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
791 |
622 |
$3K |
| 73564 |
|
102 |
89 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
63 |
63 |
$1K |
| 73130 |
|
72 |
66 |
$979.07 |
| 73110 |
|
42 |
39 |
$768.78 |
| 73502 |
|
28 |
25 |
$326.01 |
| 74018 |
|
43 |
41 |
$294.54 |
| 73140 |
|
27 |
27 |
$273.89 |
| 93971 |
|
13 |
13 |
$64.62 |