| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
259 |
254 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
707 |
703 |
$6K |
| 76830 |
Ultrasound, transvaginal |
211 |
211 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
134 |
129 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
52 |
51 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
146 |
142 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
146 |
146 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
64 |
64 |
$2K |
| 93975 |
|
53 |
53 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
76 |
75 |
$2K |
| 76376 |
|
259 |
259 |
$2K |
| 93976 |
|
57 |
56 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
58 |
58 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
68 |
67 |
$502.93 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
13 |
$429.38 |
| 73630 |
|
44 |
38 |
$286.08 |
| 73610 |
|
25 |
25 |
$162.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
22 |
22 |
$0.00 |