| Code | Description | Claims | Beneficiaries | Total Paid |
| 76536 |
|
349 |
349 |
$9K |
| 73630 |
|
297 |
203 |
$4K |
| 72110 |
|
152 |
152 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
61 |
61 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
29 |
$1K |
| 72050 |
|
26 |
26 |
$626.18 |
| 76770 |
|
14 |
14 |
$622.58 |
| 73562 |
|
37 |
28 |
$561.34 |
| 73564 |
|
40 |
27 |
$544.42 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$510.18 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
37 |
$350.22 |
| 73610 |
|
15 |
12 |
$349.32 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$347.18 |