| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
234 |
229 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
13 |
$535.45 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
14 |
$454.80 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
58 |
$408.58 |
| 73630 |
|
40 |
38 |
$307.56 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$305.64 |
| 71045 |
Radiologic examination, chest; single view |
49 |
48 |
$292.47 |