| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
660 |
477 |
$22K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
111 |
97 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
119 |
93 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
26 |
$3K |
| 72141 |
|
12 |
12 |
$2K |
| 76830 |
Ultrasound, transvaginal |
57 |
39 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
169 |
131 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$730.00 |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
56 |
$653.50 |