| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
460 |
457 |
$15K |
| 76830 |
Ultrasound, transvaginal |
291 |
291 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
860 |
851 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
321 |
316 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
101 |
99 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
303 |
301 |
$6K |
| 93976 |
|
155 |
154 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
146 |
142 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
151 |
149 |
$4K |
| 93975 |
|
84 |
84 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
91 |
91 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
116 |
116 |
$3K |
| 76376 |
|
375 |
375 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
23 |
22 |
$2K |
| 76377 |
|
32 |
32 |
$893.12 |
| 71045 |
Radiologic examination, chest; single view |
102 |
96 |
$761.47 |
| 73630 |
|
111 |
96 |
$723.63 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
13 |
$362.25 |
| 73130 |
|
30 |
26 |
$224.09 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
30 |
29 |
$0.00 |