| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
383 |
361 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
377 |
342 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
131 |
114 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
450 |
440 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
605 |
568 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
78 |
71 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
33 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$697.46 |
| 93976 |
|
16 |
12 |
$379.24 |
| 73610 |
|
13 |
13 |
$171.61 |
| 93971 |
|
12 |
12 |
$139.62 |
| 73030 |
|
12 |
12 |
$88.61 |