| Code | Description | Claims | Bene. Records | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
660 |
658 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
2,129 |
2,120 |
$30K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
230 |
226 |
$23K |
| 71250 |
|
291 |
290 |
$18K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
20 |
19 |
$1K |
| 73221 |
|
15 |
13 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
29 |
$645.46 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
60 |
$370.05 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$318.11 |
| 77080 |
|
94 |
92 |
$56.44 |