| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,295 |
1,257 |
$117K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,126 |
1,089 |
$111K |
| 76830 |
Ultrasound, transvaginal |
957 |
930 |
$94K |
| 71046 |
Radiologic examination, chest; 2 views |
3,665 |
3,554 |
$88K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
555 |
545 |
$65K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
483 |
472 |
$59K |
| 76641 |
|
495 |
464 |
$52K |
| 76801 |
|
294 |
279 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
561 |
547 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
176 |
167 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
175 |
158 |
$16K |
| 73630 |
|
668 |
637 |
$16K |
| 72100 |
|
517 |
509 |
$16K |
| 73030 |
|
618 |
597 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
179 |
168 |
$13K |
| 73562 |
|
506 |
479 |
$13K |
| 73130 |
|
498 |
481 |
$13K |
| 76536 |
|
134 |
130 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
145 |
84 |
$13K |
| 73560 |
|
412 |
396 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
157 |
154 |
$12K |
| 74019 |
|
316 |
312 |
$10K |
| 72114 |
|
198 |
187 |
$9K |
| 73610 |
|
298 |
286 |
$7K |
| 72040 |
|
192 |
189 |
$6K |
| 72110 |
|
147 |
143 |
$6K |
| 74021 |
|
210 |
192 |
$6K |
| 76770 |
|
46 |
46 |
$5K |
| 73620 |
|
184 |
179 |
$5K |
| 73600 |
|
150 |
149 |
$4K |
| 73110 |
|
150 |
147 |
$4K |
| 77080 |
|
129 |
123 |
$4K |
| 72050 |
|
105 |
99 |
$3K |
| 74018 |
|
134 |
126 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
15 |
$2K |
| 72070 |
|
90 |
87 |
$2K |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| 73590 |
|
40 |
39 |
$1K |
| 73140 |
|
46 |
44 |
$898.96 |
| 76881 |
|
13 |
12 |
$787.23 |
| 72072 |
|
21 |
19 |
$579.54 |
| 73502 |
|
13 |
13 |
$464.59 |
| 73120 |
|
13 |
13 |
$369.60 |
| 73100 |
|
12 |
12 |
$334.30 |
| 73090 |
|
12 |
12 |
$277.27 |