button.m

    UIButton *button = [UIButton buttonWithType:UIButtonTypeCustom];
    button.frame = aFrame;// a rect can contain your image and your text label

    UIImage *image = [UIImage imageNamed:@"image"];
    UIImageView *imageView = [[UIImageView alloc] initWithFrame:iFrame];// image frame on left of button
    imageView.image = randomImage;
    imageView.backgroundColor = [UIColor clearColor];
    [button addSubview:imageView];
    
    UILabel *label = [[UILabel alloc] initWithFrame:lFrame];//text frame on right of button
    label.backgroundColor = [UIColor clearColor];
    label.font = [UIFont systemFontOfSize:14];
    label.textAlignment = NSTextAlignmentCenter;
    label.textColor = [UIColor blackColor];
    label.text = NSLocalizedString(@"53", nil);
    [button addSubview:label];