| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
180 |
175 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
307 |
291 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
544 |
443 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
804 |
597 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
31 |
31 |
$2K |
| 76536 |
|
20 |
20 |
$430.12 |
| 74018 |
|
47 |
33 |
$289.19 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$246.75 |
| 73030 |
|
29 |
29 |
$242.71 |
| 73630 |
|
13 |
13 |
$144.93 |
| 73610 |
|
13 |
12 |
$66.90 |
| 99053 |
|
92 |
90 |
$0.00 |