| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
904 |
838 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
871 |
837 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
228 |
199 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
159 |
147 |
$8K |
| 76536 |
|
243 |
194 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
200 |
178 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
242 |
238 |
$5K |
| 76770 |
|
114 |
113 |
$4K |
| 73562 |
|
256 |
217 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
417 |
412 |
$2K |
| 73560 |
|
262 |
207 |
$2K |
| 73564 |
|
167 |
140 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
376 |
328 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
18 |
12 |
$2K |
| 73130 |
|
174 |
145 |
$2K |
| 73030 |
|
192 |
160 |
$2K |
| 72100 |
|
116 |
116 |
$1K |
| 73630 |
|
119 |
101 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
47 |
47 |
$1K |
| 73502 |
|
172 |
168 |
$981.03 |
| 72110 |
|
66 |
56 |
$957.44 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
41 |
27 |
$855.95 |
| 76870 |
|
28 |
28 |
$663.28 |
| 73110 |
|
61 |
56 |
$658.70 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$448.02 |
| 73610 |
|
26 |
24 |
$322.78 |
| 74018 |
|
19 |
13 |
$103.33 |