| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
38 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
12 |
$857.76 |
| 76820 |
|
25 |
13 |
$591.43 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$424.45 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$375.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$342.94 |