| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,861 |
3,630 |
$243K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,563 |
2,418 |
$114K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
970 |
924 |
$102K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,005 |
975 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
6,670 |
6,239 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
5,432 |
4,814 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
602 |
554 |
$18K |
| 73630 |
|
1,684 |
1,541 |
$17K |
| 73610 |
|
1,187 |
1,085 |
$16K |
| 73130 |
|
1,572 |
1,396 |
$15K |
| 73564 |
|
1,114 |
962 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
342 |
327 |
$10K |
| 72110 |
|
561 |
537 |
$9K |
| 73030 |
|
884 |
804 |
$9K |
| 73110 |
|
474 |
434 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
146 |
143 |
$4K |
| 74018 |
|
845 |
744 |
$3K |
| 93970 |
|
152 |
130 |
$2K |
| 93971 |
|
154 |
143 |
$2K |
| 76376 |
|
269 |
255 |
$1K |
| 71250 |
|
71 |
56 |
$1K |
| 76801 |
|
29 |
26 |
$1K |
| 72100 |
|
61 |
60 |
$795.71 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
25 |
$683.02 |
| 73562 |
|
40 |
26 |
$453.01 |
| 73080 |
|
41 |
40 |
$412.62 |
| 73502 |
|
69 |
66 |
$377.19 |
| 70486 |
|
14 |
12 |
$355.70 |
| 73590 |
|
27 |
25 |
$211.32 |
| 72050 |
|
12 |
12 |
$208.03 |
| 73090 |
|
12 |
12 |
$107.42 |