| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
788 |
730 |
$4K |
| 93976 |
|
182 |
151 |
$4K |
| 76830 |
Ultrasound, transvaginal |
98 |
82 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
117 |
98 |
$3K |
| 76536 |
|
61 |
56 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
316 |
266 |
$1K |
| 73630 |
|
88 |
64 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$1K |
| 76770 |
|
29 |
28 |
$968.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
41 |
$831.64 |
| 76801 |
|
15 |
12 |
$432.88 |
| 74018 |
|
54 |
54 |
$231.28 |
| 99152 |
|
32 |
24 |
$190.48 |
| 73610 |
|
13 |
13 |
$173.98 |
| 72100 |
|
12 |
12 |
$160.04 |
| 73502 |
|
12 |
12 |
$61.29 |