| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
761 |
758 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
303 |
303 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,191 |
1,179 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
152 |
152 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
303 |
303 |
$8K |
| 76642 |
|
15 |
15 |
$615.25 |
| 71045 |
Radiologic examination, chest; single view |
74 |
60 |
$599.72 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$269.66 |