| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,595 |
1,445 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
100 |
100 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
98 |
96 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
80 |
80 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
42 |
$1K |
| 93976 |
|
14 |
14 |
$682.58 |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$640.79 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$580.12 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$565.60 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$139.53 |