| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,116 |
1,114 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
498 |
484 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
3,715 |
3,022 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,453 |
2,281 |
$21K |
| 76801 |
|
422 |
418 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
346 |
336 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
248 |
244 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
183 |
183 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
122 |
119 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
86 |
42 |
$3K |
| 76830 |
Ultrasound, transvaginal |
97 |
97 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
58 |
58 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
39 |
39 |
$2K |
| 99443 |
|
14 |
13 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
25 |
$942.25 |
| 73562 |
|
132 |
127 |
$921.34 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$839.70 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$708.48 |
| 73630 |
|
107 |
98 |
$593.25 |
| 73130 |
|
57 |
57 |
$389.75 |
| 73610 |
|
50 |
49 |
$334.68 |
| 73030 |
|
37 |
37 |
$266.13 |
| 72100 |
|
29 |
29 |
$250.60 |
| 73110 |
|
28 |
27 |
$187.50 |
| 74019 |
|
13 |
12 |
$109.91 |