| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
205 |
191 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
73 |
72 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
36 |
32 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
264 |
232 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$838.00 |
| 71010 |
|
172 |
158 |
$551.74 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
22 |
$162.51 |
| 71020 |
|
71 |
64 |
$120.59 |