| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
556 |
499 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
522 |
447 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
2,822 |
2,320 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
114 |
99 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
503 |
461 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
34 |
26 |
$2K |
| 71010 |
|
298 |
260 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$519.84 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$135.90 |
| 71020 |
|
20 |
13 |
$134.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$114.36 |
| 99053 |
|
13 |
13 |
$0.00 |