| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
131 |
125 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,046 |
1,027 |
$6K |
| 73610 |
|
290 |
255 |
$4K |
| 73630 |
|
393 |
343 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
795 |
748 |
$3K |
| 76830 |
Ultrasound, transvaginal |
85 |
84 |
$3K |
| 77080 |
|
46 |
46 |
$2K |
| 73030 |
|
171 |
162 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
27 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
43 |
$942.46 |
| 74018 |
|
188 |
183 |
$927.51 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
28 |
$894.40 |
| 72110 |
|
35 |
35 |
$631.51 |
| 72050 |
|
26 |
26 |
$441.99 |
| 73110 |
|
28 |
27 |
$312.55 |
| 76376 |
|
15 |
14 |
$195.78 |
| 73560 |
|
16 |
15 |
$165.16 |
| 72100 |
|
13 |
13 |
$163.16 |
| 73140 |
|
18 |
16 |
$116.14 |
| 73080 |
|
12 |
12 |
$112.84 |