| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,163 |
1,161 |
$104K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
513 |
482 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
427 |
403 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
484 |
484 |
$32K |
| 76830 |
Ultrasound, transvaginal |
462 |
462 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
228 |
228 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
279 |
278 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
495 |
494 |
$12K |
| 72141 |
|
134 |
114 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
42 |
39 |
$7K |
| 72110 |
|
149 |
148 |
$6K |
| 76536 |
|
96 |
96 |
$5K |
| 76801 |
|
25 |
25 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
41 |
41 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
26 |
$1K |
| 73030 |
|
61 |
52 |
$1K |
| 72100 |
|
42 |
42 |
$1K |
| 72082 |
|
16 |
16 |
$900.96 |
| 76870 |
|
12 |
12 |
$716.16 |
| 73560 |
|
39 |
31 |
$678.54 |
| 73630 |
|
23 |
19 |
$532.84 |
| 72070 |
|
15 |
15 |
$402.38 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
42 |
$357.69 |