| Code | Description | Claims | Bene. Records | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
861 |
761 |
$48K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
583 |
506 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,250 |
2,252 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
386 |
346 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
234 |
198 |
$7K |
| 70496 |
|
79 |
66 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
300 |
272 |
$6K |
| 70498 |
|
77 |
65 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
560 |
515 |
$3K |
| 73130 |
|
280 |
226 |
$2K |
| 73590 |
|
204 |
148 |
$1K |
| 70486 |
|
28 |
25 |
$1K |
| 73560 |
|
160 |
139 |
$1K |
| 73630 |
|
163 |
120 |
$920.63 |
| 73552 |
|
132 |
98 |
$863.38 |
| 73610 |
|
124 |
100 |
$722.19 |
| 74018 |
|
106 |
80 |
$497.62 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$431.35 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$428.78 |
| 73110 |
|
45 |
39 |
$318.90 |
| 72170 |
|
43 |
38 |
$251.89 |
| 73562 |
|
33 |
25 |
$240.31 |
| 73090 |
|
26 |
24 |
$163.98 |
| 73030 |
|
18 |
14 |
$126.12 |
| 73060 |
|
15 |
13 |
$107.07 |