| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,405 |
5,922 |
$328K |
| 71045 |
Radiologic examination, chest; single view |
30,562 |
26,700 |
$154K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,078 |
3,790 |
$95K |
| 71046 |
Radiologic examination, chest; 2 views |
11,960 |
11,188 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,327 |
1,265 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
989 |
946 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
170 |
162 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
139 |
127 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
71 |
70 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
86 |
86 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
96 |
91 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
61 |
50 |
$2K |
| 71250 |
|
40 |
39 |
$2K |
| 76830 |
Ultrasound, transvaginal |
47 |
47 |
$1K |
| 73630 |
|
200 |
191 |
$1K |
| 74183 |
|
16 |
15 |
$856.36 |
| 72100 |
|
91 |
86 |
$663.04 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$608.53 |
| 73610 |
|
103 |
100 |
$601.44 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$552.67 |
| 73560 |
|
84 |
81 |
$504.65 |
| 74019 |
|
56 |
55 |
$494.45 |
| 74018 |
|
72 |
71 |
$491.65 |
| 73110 |
|
58 |
56 |
$365.04 |
| 73030 |
|
51 |
51 |
$356.28 |
| 73130 |
|
55 |
52 |
$329.16 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$313.62 |
| 73502 |
|
37 |
36 |
$310.06 |
| 72050 |
|
30 |
30 |
$292.15 |
| 73562 |
|
45 |
41 |
$264.58 |
| 73140 |
|
44 |
42 |
$212.50 |
| 76642 |
|
12 |
12 |
$203.01 |
| 71101 |
|
15 |
12 |
$100.20 |
| 99152 |
|
15 |
12 |
$85.76 |
| 73620 |
|
14 |
13 |
$83.06 |
| 76376 |
|
15 |
14 |
$69.27 |