| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,503 |
1,356 |
$58K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
498 |
461 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
3,116 |
2,797 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,691 |
1,535 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
648 |
550 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
377 |
354 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
109 |
98 |
$4K |
| 73630 |
|
332 |
262 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
154 |
120 |
$3K |
| 71250 |
|
145 |
129 |
$3K |
| 73564 |
|
142 |
104 |
$2K |
| 76830 |
Ultrasound, transvaginal |
33 |
27 |
$1K |
| 73030 |
|
85 |
74 |
$806.74 |
| 76770 |
|
29 |
28 |
$724.74 |
| 73130 |
|
61 |
52 |
$527.95 |
| 74018 |
|
103 |
74 |
$511.33 |
| 73610 |
|
47 |
42 |
$382.98 |
| 70486 |
|
13 |
13 |
$372.12 |
| 93971 |
|
15 |
13 |
$180.53 |
| 74022 |
|
12 |
12 |
$158.91 |
| 74019 |
|
13 |
13 |
$109.82 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
48 |
26 |
$0.00 |