| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
905 |
840 |
$25K |
| 76801 |
|
236 |
223 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,755 |
1,448 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
124 |
122 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
137 |
132 |
$4K |
| 74019 |
|
729 |
661 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
873 |
802 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
42 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
131 |
$2K |
| 74018 |
|
218 |
197 |
$963.77 |
| 73630 |
|
133 |
123 |
$709.44 |
| 73610 |
|
86 |
79 |
$468.04 |
| 73130 |
|
49 |
41 |
$291.28 |
| 73110 |
|
45 |
39 |
$218.46 |
| 73562 |
|
29 |
26 |
$175.63 |
| 73030 |
|
32 |
26 |
$105.68 |