| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,049 |
1,047 |
$87K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
541 |
539 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,320 |
1,317 |
$35K |
| 76830 |
Ultrasound, transvaginal |
484 |
484 |
$34K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
241 |
120 |
$22K |
| 76770 |
|
254 |
254 |
$20K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
171 |
81 |
$17K |
| 76536 |
|
251 |
250 |
$14K |
| 74178 |
|
40 |
40 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
598 |
592 |
$7K |
| 73030 |
|
235 |
186 |
$6K |
| 72100 |
|
179 |
179 |
$5K |
| 73630 |
|
192 |
131 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
24 |
12 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
97 |
97 |
$2K |
| 71250 |
|
15 |
15 |
$2K |
| 73562 |
|
83 |
56 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 73560 |
|
90 |
66 |
$1K |
| 77080 |
|
29 |
29 |
$994.79 |
| 73564 |
|
35 |
24 |
$795.06 |
| 73610 |
|
29 |
26 |
$764.42 |
| 72040 |
|
24 |
24 |
$651.82 |
| 72110 |
|
13 |
13 |
$596.99 |
| 73130 |
|
23 |
13 |
$587.18 |
| 74018 |
|
14 |
14 |
$360.42 |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$283.39 |
| 99072 |
|
232 |
228 |
$7.92 |