| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
401 |
401 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
452 |
419 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
97 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
258 |
252 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
905 |
832 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
465 |
461 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
111 |
110 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
92 |
90 |
$3K |
| 73630 |
|
116 |
115 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$456.24 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$443.30 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$355.80 |
| 93970 |
|
12 |
12 |
$276.77 |
| 73610 |
|
13 |
13 |
$105.71 |
| 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) |
438 |
432 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
51 |
51 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
171 |
166 |
$0.00 |