| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
476 |
428 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
130 |
128 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
344 |
318 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
56 |
$618.26 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
84 |
$506.24 |
| 76770 |
|
17 |
17 |
$432.58 |
| 93970 |
|
13 |
13 |
$282.50 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
31 |
$241.11 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$133.95 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
110 |
94 |
$0.00 |