| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
986 |
969 |
$117K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
265 |
257 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
57 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
14 |
$306.98 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$79.32 |
| A4215 |
Needle, sterile, any size, each |
267 |
238 |
$39.82 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$0.00 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
17 |
14 |
$0.00 |
| A4212 |
Non-coring needle or stylet with or without catheter |
17 |
14 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
17 |
14 |
$0.00 |