| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
471 |
415 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
210 |
188 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,163 |
903 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
170 |
150 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
16 |
$1K |
| 71010 |
|
146 |
128 |
$697.60 |
| 71020 |
|
81 |
72 |
$311.74 |
| 74018 |
|
18 |
14 |
$123.08 |