| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
85 |
83 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
107 |
$2K |
| 76801 |
|
58 |
57 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
333 |
308 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
159 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
17 |
$734.55 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$617.30 |
| 73610 |
|
26 |
26 |
$211.55 |
| 76536 |
|
12 |
12 |
$178.53 |
| 73630 |
|
14 |
14 |
$117.82 |
| 73130 |
|
12 |
12 |
$115.83 |