| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
393 |
343 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
236 |
223 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,427 |
1,149 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
255 |
235 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
62 |
58 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
164 |
156 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
51 |
48 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
230 |
213 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
19 |
17 |
$1K |
| 71250 |
|
59 |
39 |
$1K |
| 76376 |
|
111 |
79 |
$488.08 |
| 73610 |
|
13 |
13 |
$118.00 |
| 74018 |
|
12 |
12 |
$77.63 |
| 71010 |
|
194 |
176 |
$40.60 |
| 71020 |
|
81 |
81 |
$14.90 |