| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,756 |
1,754 |
$58K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
501 |
342 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
1,035 |
1,034 |
$11K |
| 73562 |
|
448 |
447 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
302 |
302 |
$7K |
| 72141 |
|
59 |
42 |
$5K |
| 72100 |
|
348 |
348 |
$4K |
| 76770 |
|
104 |
104 |
$3K |
| 71250 |
|
81 |
81 |
$3K |
| 93978 |
|
37 |
37 |
$2K |
| 72050 |
|
113 |
113 |
$2K |
| 73630 |
|
128 |
128 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
22 |
12 |
$843.35 |
| 76536 |
|
24 |
24 |
$825.53 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$391.61 |
| 76775 |
|
26 |
26 |
$371.94 |
| 73030 |
|
23 |
23 |
$357.86 |
| 71045 |
Radiologic examination, chest; single view |
26 |
25 |
$234.35 |
| 73610 |
|
16 |
16 |
$224.73 |
| 73502 |
|
12 |
12 |
$209.28 |
| 72220 |
|
13 |
13 |
$112.99 |
| 77080 |
|
30 |
30 |
$7.87 |