| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
588 |
550 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
248 |
242 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
781 |
746 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
107 |
52 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$930.85 |
| 73610 |
|
14 |
14 |
$117.95 |
| 73130 |
|
14 |
14 |
$110.59 |
| 74019 |
|
12 |
12 |
$95.18 |