| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
285 |
285 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
55 |
55 |
$4K |
| 76536 |
|
52 |
52 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
24 |
12 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
12 |
$2K |
| 76770 |
|
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$829.89 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$818.72 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
56 |
55 |
$648.23 |
| 73560 |
|
17 |
13 |
$338.01 |