| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
427 |
332 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,242 |
1,683 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
194 |
168 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
693 |
578 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
41 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
14 |
$1K |
| 73610 |
|
62 |
57 |
$636.00 |
| 73630 |
|
28 |
27 |
$352.00 |
| 74018 |
|
57 |
44 |
$325.58 |
| 73130 |
|
15 |
12 |
$195.00 |
| 72020 |
|
20 |
16 |
$132.00 |
| 73560 |
|
15 |
14 |
$76.64 |
| 71010 |
|
128 |
109 |
$26.68 |
| 71020 |
|
64 |
63 |
$2.13 |
| 74000 |
|
24 |
16 |
$0.00 |