| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,136 |
2,043 |
$122K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
298 |
283 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
847 |
805 |
$30K |
| 76830 |
Ultrasound, transvaginal |
600 |
578 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,071 |
3,588 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
295 |
276 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
305 |
300 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,973 |
1,893 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
312 |
298 |
$9K |
| 76857 |
|
256 |
243 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
464 |
457 |
$8K |
| 93975 |
|
228 |
215 |
$7K |
| 93970 |
|
454 |
443 |
$6K |
| 93971 |
|
595 |
545 |
$6K |
| 76770 |
|
184 |
183 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
52 |
$4K |
| 74018 |
|
831 |
683 |
$3K |
| 74183 |
|
13 |
13 |
$2K |
| 71250 |
|
69 |
64 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
76 |
71 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
52 |
$1K |
| 76536 |
|
29 |
29 |
$917.90 |
| 73630 |
|
57 |
46 |
$570.87 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
326 |
314 |
$499.17 |
| 73562 |
|
24 |
24 |
$270.76 |
| 73030 |
|
24 |
24 |
$183.41 |
| 73610 |
|
12 |
12 |
$159.53 |