| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
123 |
122 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
96 |
96 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
68 |
68 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
28 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
16 |
$961.96 |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
124 |
$911.83 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$784.09 |
| 71045 |
Radiologic examination, chest; single view |
103 |
102 |
$738.95 |