| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77066 |
Tomosynthesis, mammo |
109 |
106 |
$15K |
| 76641 |
|
90 |
88 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
54 |
48 |
$6K |
| 76770 |
|
45 |
38 |
$5K |
| 76830 |
Ultrasound, transvaginal |
32 |
28 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
31 |
$4K |
| 93925 |
|
15 |
13 |
$4K |
| 76536 |
|
32 |
28 |
$4K |
| 93970 |
|
18 |
16 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
15 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
69 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
22 |
18 |
$2K |
| 72100 |
|
43 |
36 |
$2K |
| 73560 |
|
29 |
24 |
$1K |
| 73630 |
|
26 |
18 |
$851.60 |
| 72040 |
|
22 |
20 |
$846.93 |
| 74018 |
|
24 |
21 |
$732.00 |
| 73130 |
|
16 |
12 |
$572.80 |
| 72070 |
|
15 |
14 |
$503.25 |
| 77080 |
|
19 |
19 |
$0.00 |