| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
351 |
351 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
240 |
237 |
$8K |
| 76830 |
Ultrasound, transvaginal |
156 |
154 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
383 |
376 |
$4K |
| 76536 |
|
69 |
69 |
$2K |
| 73562 |
|
106 |
95 |
$1K |
| 73130 |
|
106 |
86 |
$881.75 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$804.63 |
| 72110 |
|
41 |
41 |
$603.32 |
| 73630 |
|
63 |
57 |
$497.55 |
| 72114 |
|
32 |
32 |
$495.41 |
| 76642 |
|
12 |
12 |
$426.58 |
| 74018 |
|
49 |
49 |
$416.63 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$322.67 |
| 73030 |
|
38 |
36 |
$307.60 |
| 72100 |
|
17 |
17 |
$183.18 |
| 72040 |
|
13 |
13 |
$129.00 |