| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,499 |
1,411 |
$97K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
565 |
525 |
$25K |
| 76642 |
|
739 |
606 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,037 |
2,523 |
$12K |
| 77065 |
Tomosynthesis, mammo |
554 |
512 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,724 |
1,592 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
419 |
412 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
196 |
175 |
$9K |
| 77066 |
Tomosynthesis, mammo |
320 |
311 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
125 |
110 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
88 |
87 |
$3K |
| 73562 |
|
244 |
213 |
$2K |
| 73030 |
|
183 |
159 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
65 |
$2K |
| 73130 |
|
156 |
136 |
$2K |
| 73610 |
|
115 |
101 |
$1K |
| 73630 |
|
119 |
105 |
$1K |
| 19083 |
|
13 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
48 |
37 |
$998.83 |
| 72100 |
|
58 |
51 |
$714.28 |
| 74018 |
|
53 |
48 |
$186.82 |