| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
239 |
215 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
58 |
46 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
48 |
47 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
50 |
48 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
186 |
167 |
$749.69 |
| 71046 |
Radiologic examination, chest; 2 views |
102 |
102 |
$673.15 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$601.72 |
| 76376 |
|
14 |
14 |
$12.97 |