| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
214 |
213 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
286 |
286 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
320 |
318 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
77 |
$986.37 |
| 77080 |
|
13 |
13 |
$385.98 |
| 73560 |
|
29 |
27 |
$38.04 |