| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
158 |
152 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
75 |
70 |
$5K |
| 76830 |
Ultrasound, transvaginal |
133 |
128 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
525 |
466 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
58 |
57 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
14 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$816.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$249.04 |
| 73630 |
|
28 |
26 |
$220.41 |
| 73502 |
|
29 |
28 |
$215.17 |
| 73030 |
|
16 |
16 |
$131.33 |
| 71045 |
Radiologic examination, chest; single view |
15 |
12 |
$77.20 |