| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,810 |
1,398 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
712 |
542 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
753 |
594 |
$31K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
201 |
155 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
14 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
1,162 |
686 |
$4K |
| 76536 |
|
120 |
102 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
24 |
$4K |
| 76830 |
Ultrasound, transvaginal |
90 |
84 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
683 |
542 |
$3K |
| 71250 |
|
87 |
70 |
$2K |
| 76801 |
|
59 |
30 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
47 |
41 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
13 |
$1K |
| 77080 |
|
185 |
138 |
$1K |
| 74183 |
|
19 |
13 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
51 |
25 |
$900.24 |
| 72100 |
|
54 |
42 |
$347.28 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
495 |
387 |
$113.64 |
| 72040 |
|
16 |
12 |
$109.68 |
| 74018 |
|
19 |
12 |
$45.52 |
| 82565 |
|
44 |
25 |
$29.12 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
38 |
30 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
72 |
54 |
$0.00 |