| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
330 |
288 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
149 |
145 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
637 |
596 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
95 |
92 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
163 |
152 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
753 |
604 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
50 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
121 |
89 |
$2K |
| 76641 |
|
23 |
17 |
$904.91 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
13 |
$774.49 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$578.80 |
| 76801 |
|
16 |
16 |
$575.20 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$529.40 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$437.93 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$347.08 |
| 73630 |
|
16 |
12 |
$172.36 |
| 99053 |
|
96 |
90 |
$0.00 |