| Code | Description | Claims | Bene. Records | Total Paid |
| 76641 |
|
521 |
326 |
$24K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
445 |
422 |
$22K |
| 77066 |
Tomosynthesis, mammo |
298 |
298 |
$20K |
| 76830 |
Ultrasound, transvaginal |
233 |
233 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
375 |
366 |
$11K |
| 76536 |
|
169 |
162 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
153 |
150 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
67 |
$5K |
| 76770 |
|
101 |
98 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
85 |
76 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
613 |
570 |
$4K |
| 77080 |
|
96 |
96 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
395 |
287 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
61 |
55 |
$1K |
| 72110 |
|
41 |
40 |
$834.58 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
14 |
$704.77 |
| 72100 |
|
27 |
27 |
$466.00 |
| 73030 |
|
15 |
13 |
$229.60 |
| 70210 |
|
12 |
12 |
$77.15 |