| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
3,917 |
3,797 |
$233K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,916 |
1,868 |
$106K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,224 |
2,212 |
$85K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,392 |
1,390 |
$75K |
| 76830 |
Ultrasound, transvaginal |
1,787 |
1,781 |
$67K |
| 76641 |
|
1,211 |
938 |
$47K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,934 |
1,854 |
$43K |
| 77066 |
Tomosynthesis, mammo |
347 |
346 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,334 |
1,334 |
$12K |
| 76536 |
|
242 |
228 |
$8K |
| 77065 |
Tomosynthesis, mammo |
86 |
84 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
78 |
65 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
161 |
151 |
$1K |
| 76770 |
|
125 |
125 |
$773.30 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$165.16 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$39.83 |