| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,107 |
1,094 |
$125K |
| 76641 |
|
885 |
819 |
$95K |
| 76830 |
Ultrasound, transvaginal |
647 |
645 |
$78K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
678 |
675 |
$58K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,099 |
1,087 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
392 |
376 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
291 |
288 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
792 |
777 |
$23K |
| 76818 |
|
181 |
101 |
$22K |
| 72100 |
|
585 |
582 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
195 |
175 |
$19K |
| 76801 |
|
130 |
123 |
$15K |
| 73560 |
|
458 |
448 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
122 |
122 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
160 |
158 |
$13K |
| 77080 |
|
456 |
408 |
$11K |
| 74019 |
|
286 |
279 |
$10K |
| 73030 |
|
264 |
264 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
76 |
46 |
$6K |
| 73600 |
|
124 |
121 |
$4K |
| 77065 |
Tomosynthesis, mammo |
28 |
28 |
$4K |
| 76536 |
|
29 |
29 |
$3K |
| 73630 |
|
98 |
96 |
$3K |
| 73130 |
|
73 |
73 |
$3K |
| 73620 |
|
83 |
80 |
$2K |
| 77066 |
Tomosynthesis, mammo |
16 |
15 |
$2K |
| 76770 |
|
14 |
13 |
$1K |
| 73100 |
|
43 |
43 |
$1K |
| 73502 |
|
25 |
25 |
$814.75 |
| 76706 |
|
12 |
12 |
$782.11 |
| 72110 |
|
14 |
14 |
$676.26 |
| 74021 |
|
16 |
16 |
$601.30 |
| 76881 |
|
12 |
12 |
$564.35 |
| 72040 |
|
14 |
14 |
$549.57 |
| 72070 |
|
14 |
14 |
$459.73 |
| 74018 |
|
12 |
12 |
$375.60 |
| 73120 |
|
12 |
12 |
$360.22 |