| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
291 |
288 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,049 |
1,045 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
222 |
221 |
$5K |
| 76830 |
Ultrasound, transvaginal |
162 |
162 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
124 |
124 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
163 |
163 |
$3K |
| 93975 |
|
41 |
41 |
$2K |
| 76376 |
|
219 |
219 |
$2K |
| 93976 |
|
54 |
54 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
32 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
42 |
42 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$854.96 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$770.88 |
| 71045 |
Radiologic examination, chest; single view |
64 |
62 |
$473.18 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
12 |
$384.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$235.96 |
| 73610 |
|
12 |
12 |
$81.96 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
27 |
26 |
$0.00 |