| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,370 |
1,193 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
7,603 |
4,902 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
567 |
516 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,721 |
1,632 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
176 |
164 |
$4K |
| 71250 |
|
231 |
223 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
95 |
91 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
60 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
33 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
124 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
13 |
$825.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
96 |
95 |
$480.00 |
| 74018 |
|
97 |
81 |
$291.48 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$239.21 |
| 76770 |
|
12 |
12 |
$205.90 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
13 |
$202.01 |
| 76376 |
|
16 |
12 |
$63.97 |
| 73630 |
|
13 |
13 |
$60.02 |