| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,451 |
1,352 |
$9K |
| 93976 |
|
138 |
132 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
147 |
134 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
75 |
70 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
315 |
257 |
$690.34 |
| 73630 |
|
107 |
81 |
$571.77 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$455.40 |
| 76818 |
|
22 |
13 |
$323.77 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$313.11 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$272.72 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$272.40 |