| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
524 |
466 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,709 |
1,575 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
252 |
230 |
$22K |
| 74018 |
|
519 |
497 |
$12K |
| 73630 |
|
212 |
167 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
35 |
12 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
87 |
85 |
$2K |
| 73610 |
|
29 |
25 |
$752.88 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$720.37 |
| 73140 |
|
13 |
12 |
$306.26 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$297.50 |