| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
153 |
144 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
205 |
175 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
486 |
370 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$954.40 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
12 |
$822.40 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$802.13 |
| 71046 |
Radiologic examination, chest; 2 views |
98 |
73 |
$695.17 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19 |
13 |
$514.78 |
| 71010 |
|
140 |
114 |
$426.78 |
| 71020 |
|
69 |
55 |
$328.33 |
| 74018 |
|
20 |
16 |
$127.30 |
| 99053 |
|
43 |
42 |
$0.00 |