| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,535 |
1,384 |
$102K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
950 |
902 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
2,330 |
2,101 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
98 |
92 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
767 |
745 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
54 |
46 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
84 |
67 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
53 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
24 |
24 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
52 |
51 |
$1K |
| 76830 |
Ultrasound, transvaginal |
30 |
28 |
$1K |
| 93975 |
|
31 |
28 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
51 |
50 |
$868.15 |
| 73562 |
|
52 |
49 |
$543.78 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$467.37 |
| 72100 |
|
39 |
39 |
$449.74 |
| 74018 |
|
61 |
54 |
$330.39 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$318.73 |
| 73630 |
|
29 |
28 |
$279.20 |
| 73610 |
|
13 |
12 |
$174.00 |
| 73030 |
|
14 |
13 |
$146.47 |