| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
74 |
74 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
85 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
43 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
157 |
155 |
$920.91 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$918.63 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
30 |
$811.86 |
| 71046 |
Radiologic examination, chest; 2 views |
92 |
92 |
$805.56 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$786.74 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$333.19 |