| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,069 |
1,033 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,562 |
2,609 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
707 |
692 |
$3K |
| 76801 |
|
95 |
92 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
28 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
40 |
24 |
$898.50 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
25 |
$593.20 |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
29 |
$528.66 |
| 73630 |
|
60 |
55 |
$393.48 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$346.74 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$238.83 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
12 |
$233.29 |
| 72100 |
|
27 |
27 |
$154.38 |
| 73560 |
|
18 |
12 |
$68.90 |
| 74018 |
|
13 |
13 |
$64.67 |