| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
52 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
116 |
109 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
36 |
34 |
$3K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
14 |
$653.25 |
| 71045 |
Radiologic examination, chest; single view |
43 |
40 |
$308.06 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$116.67 |