| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$3K |
| 76801 |
|
23 |
22 |
$2K |
| 76830 |
Ultrasound, transvaginal |
31 |
31 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
31 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
46 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$948.26 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$660.96 |
| 71045 |
Radiologic examination, chest; single view |
16 |
12 |
$82.56 |