| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
148 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
98 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,002 |
776 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
65 |
52 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
49 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
59 |
56 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
144 |
140 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
16 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$601.50 |
| 93971 |
|
15 |
12 |
$540.00 |
| 71010 |
|
296 |
217 |
$157.80 |
| 71020 |
|
258 |
221 |
$73.59 |