| Code | Description | Claims | Bene. Records | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
221 |
205 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
63 |
62 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
509 |
474 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
35 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
31 |
$1K |
| 76830 |
Ultrasound, transvaginal |
32 |
29 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
33 |
$644.39 |
| 71046 |
Radiologic examination, chest; 2 views |
107 |
106 |
$636.53 |
| 93976 |
|
27 |
27 |
$622.70 |
| 73610 |
|
15 |
14 |
$189.79 |
| 74018 |
|
14 |
14 |
$56.88 |