| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
766 |
725 |
$7K |
| 93976 |
|
121 |
115 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
127 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
62 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
58 |
58 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
15 |
$1K |
| 93975 |
|
17 |
17 |
$1K |
| 76830 |
Ultrasound, transvaginal |
45 |
45 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$298.35 |
| 76377 |
|
62 |
62 |
$0.00 |