| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
169 |
169 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
282 |
270 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
93 |
50 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
222 |
189 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
104 |
103 |
$752.24 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$463.92 |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
38 |
38 |
$0.00 |