| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
449 |
314 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
113 |
88 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
266 |
171 |
$6K |
| 76801 |
|
173 |
127 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
669 |
512 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
98 |
63 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
63 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
66 |
46 |
$1K |
| 76830 |
Ultrasound, transvaginal |
41 |
28 |
$749.91 |
| 71045 |
Radiologic examination, chest; single view |
98 |
58 |
$475.42 |