| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
686 |
678 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
121 |
120 |
$4K |
| 76830 |
Ultrasound, transvaginal |
110 |
109 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
59 |
58 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
591 |
442 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
68 |
66 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
27 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
41 |
$829.39 |
| 73562 |
|
49 |
46 |
$532.86 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$417.00 |
| 73130 |
|
30 |
29 |
$277.30 |
| 73560 |
|
23 |
18 |
$208.26 |
| 73030 |
|
17 |
15 |
$158.77 |
| 72100 |
|
16 |
16 |
$153.19 |
| 73502 |
|
21 |
21 |
$106.22 |