| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,267 |
1,248 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
484 |
481 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,322 |
1,299 |
$31K |
| 76830 |
Ultrasound, transvaginal |
1,096 |
1,092 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
3,196 |
3,161 |
$27K |
| 93975 |
|
587 |
583 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,000 |
998 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
609 |
585 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
381 |
381 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,216 |
1,140 |
$8K |
| 76376 |
|
1,090 |
1,088 |
$8K |
| 93976 |
|
283 |
282 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
281 |
277 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
81 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
129 |
129 |
$5K |
| 73630 |
|
516 |
492 |
$3K |
| 73610 |
|
352 |
346 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
70 |
58 |
$2K |
| 73562 |
|
232 |
216 |
$2K |
| 76377 |
|
38 |
38 |
$1K |
| 73564 |
|
90 |
78 |
$831.71 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
47 |
44 |
$807.78 |
| 76770 |
|
26 |
26 |
$701.24 |
| 73030 |
|
60 |
58 |
$459.32 |
| 73110 |
|
54 |
51 |
$349.19 |
| 73130 |
|
45 |
42 |
$308.76 |
| 76536 |
|
13 |
13 |
$281.84 |
| 73560 |
|
14 |
13 |
$91.84 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
26 |
24 |
$0.00 |