| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
938 |
891 |
$71K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
473 |
429 |
$55K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
463 |
452 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
395 |
390 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
1,205 |
1,154 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
347 |
333 |
$22K |
| 76830 |
Ultrasound, transvaginal |
245 |
237 |
$17K |
| 72100 |
|
529 |
518 |
$14K |
| 73560 |
|
284 |
215 |
$6K |
| 72141 |
|
43 |
42 |
$5K |
| 76536 |
|
60 |
59 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$3K |
| 73030 |
|
65 |
56 |
$2K |
| 76641 |
|
13 |
13 |
$667.20 |
| 73130 |
|
16 |
13 |
$414.12 |
| 73610 |
|
14 |
13 |
$399.44 |
| 73502 |
|
15 |
13 |
$398.04 |
| 72040 |
|
18 |
16 |
$388.01 |
| 73630 |
|
13 |
12 |
$315.70 |
| 76882 |
|
12 |
12 |
$311.23 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$289.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
285 |
261 |
$2.49 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
150 |
133 |
$0.00 |