| Code | Description | Claims | Bene. Records | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
605 |
587 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
76 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
19 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
138 |
133 |
$1K |
| 71010 |
|
222 |
205 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$543.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$419.32 |
| 71020 |
|
74 |
70 |
$332.00 |
| 73630 |
|
30 |
26 |
$270.44 |
| 73130 |
|
14 |
12 |
$180.00 |
| 73610 |
|
14 |
13 |
$176.00 |