| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
365 |
326 |
$28K |
| 93975 |
|
151 |
133 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
706 |
598 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
222 |
192 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
174 |
159 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
89 |
86 |
$9K |
| 76830 |
Ultrasound, transvaginal |
79 |
76 |
$7K |
| 76376 |
|
518 |
444 |
$4K |
| 76820 |
|
82 |
75 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
127 |
126 |
$3K |
| 76377 |
|
31 |
26 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$1K |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
16 |
14 |
$0.00 |