| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,024 |
2,774 |
$193K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
869 |
810 |
$36K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
292 |
257 |
$30K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
970 |
835 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
4,069 |
3,644 |
$23K |
| 70498 |
|
212 |
202 |
$18K |
| 70496 |
|
205 |
195 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,078 |
3,372 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
833 |
703 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
140 |
132 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
254 |
228 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
217 |
195 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
150 |
134 |
$5K |
| 73562 |
|
370 |
288 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
121 |
108 |
$3K |
| 73630 |
|
259 |
215 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
74 |
$2K |
| 93970 |
|
103 |
94 |
$1K |
| 73030 |
|
128 |
112 |
$1K |
| 72100 |
|
73 |
64 |
$929.24 |
| 73130 |
|
80 |
68 |
$847.73 |
| 73610 |
|
37 |
26 |
$559.65 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
15 |
$515.28 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$492.70 |
| 72131 |
|
13 |
12 |
$340.45 |
| 70486 |
|
15 |
15 |
$282.15 |
| 76770 |
|
13 |
13 |
$263.47 |
| 93971 |
|
26 |
25 |
$203.95 |
| 72110 |
|
13 |
13 |
$187.62 |
| 74018 |
|
40 |
38 |
$148.35 |