| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
118 |
106 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
58 |
53 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
442 |
344 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
61 |
51 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
70 |
60 |
$681.61 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$381.20 |
| 71010 |
|
107 |
89 |
$315.18 |
| 71020 |
|
15 |
13 |
$41.05 |