| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
159 |
143 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
87 |
79 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
30 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
347 |
287 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
185 |
183 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
47 |
46 |
$792.25 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$481.90 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$425.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$396.47 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$336.27 |
| 73562 |
|
12 |
12 |
$144.69 |