| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,306 |
1,293 |
$138K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,273 |
1,243 |
$80K |
| 72084 |
|
50 |
50 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
40 |
38 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
106 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$988.01 |
| 72100 |
|
13 |
12 |
$133.40 |
| 99072 |
|
18 |
16 |
$0.00 |