| Code | Description | Claims | Beneficiaries | Total Paid |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
550 |
475 |
$10K |
| 76830 |
Ultrasound, transvaginal |
241 |
205 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
119 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
258 |
219 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
232 |
193 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
766 |
660 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,084 |
783 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
115 |
96 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
175 |
143 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$1K |
| 99152 |
|
225 |
199 |
$1K |
| 49083 |
|
15 |
13 |
$903.29 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
13 |
$723.60 |
| 76770 |
|
14 |
12 |
$227.70 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
46 |
38 |
$0.00 |