| Code | Description | Total Paid |
|---|---|---|
| 94375 | $7K | |
| 93925 | $4K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | $4K |
| 73140 | $2K | |
| 93975 | $2K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $2K |
| 76100 | $2K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $833.20 |
| 94729 | $717.30 | |
| 93970 | $672.78 |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | BELLONA DIAGNOSTICS INC | NORTH HOLLYWOOD, CA | 675 | $17K |
| 2 | ECHEGARAY, PPLUIS | GUAYNABO, PR | 283 | $11K |