| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
415 |
344 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,813 |
2,283 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,001 |
861 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
58 |
50 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
22 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$1K |
| 71010 |
|
267 |
232 |
$1K |
| 71020 |
|
197 |
185 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$788.91 |
| 93971 |
|
12 |
12 |
$432.00 |