| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,671 |
1,455 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
3,381 |
2,426 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,799 |
1,510 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
685 |
612 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
284 |
269 |
$7K |
| 76801 |
|
131 |
110 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
156 |
149 |
$3K |
| 76818 |
|
87 |
40 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$887.55 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$758.77 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
21 |
17 |
$656.00 |
| 74018 |
|
46 |
42 |
$172.89 |
| 71250 |
|
15 |
13 |
$59.30 |