| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
113 |
110 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,270 |
748 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
324 |
236 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
76 |
76 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
28 |
$739.42 |
| 74018 |
|
131 |
88 |
$702.62 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
14 |
$520.31 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$443.34 |