| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
639 |
621 |
$76K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
141 |
141 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
542 |
541 |
$14K |
| 71250 |
|
129 |
128 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
65 |
65 |
$10K |
| 73562 |
|
303 |
268 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
52 |
$6K |
| 73630 |
|
191 |
177 |
$5K |
| 73610 |
|
118 |
110 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$3K |
| 73030 |
|
53 |
50 |
$1K |
| 76642 |
|
15 |
13 |
$1K |
| 73110 |
|
14 |
14 |
$613.52 |
| 73130 |
|
17 |
16 |
$497.68 |