| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
331 |
315 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
138 |
126 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
591 |
560 |
$3K |
| 76830 |
Ultrasound, transvaginal |
104 |
77 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
94 |
78 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
36 |
36 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
317 |
271 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
76 |
74 |
$1K |
| 73564 |
|
103 |
86 |
$1K |
| 73630 |
|
95 |
78 |
$1K |
| 73030 |
|
51 |
39 |
$643.80 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
13 |
$557.76 |
| 73610 |
|
35 |
24 |
$525.44 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$449.66 |
| 72100 |
|
33 |
33 |
$447.33 |
| 76536 |
|
12 |
12 |
$380.15 |
| 73130 |
|
18 |
17 |
$163.45 |