| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
606 |
533 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
55 |
51 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
136 |
133 |
$3K |
| 76801 |
|
110 |
109 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
355 |
326 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
187 |
156 |
$750.15 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$522.25 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
13 |
$272.64 |
| 77080 |
|
28 |
28 |
$178.95 |