| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,318 |
4,209 |
$146K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,895 |
3,823 |
$65K |
| 76642 |
|
608 |
538 |
$19K |
| 76830 |
Ultrasound, transvaginal |
422 |
415 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
679 |
653 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
309 |
295 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
260 |
255 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
86 |
78 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
120 |
111 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
537 |
480 |
$4K |
| 76801 |
|
138 |
136 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
113 |
$3K |
| 76857 |
|
203 |
193 |
$3K |
| 77066 |
Tomosynthesis, mammo |
62 |
59 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
58 |
53 |
$3K |
| 77065 |
Tomosynthesis, mammo |
67 |
65 |
$2K |
| 93975 |
|
12 |
12 |
$995.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
21 |
20 |
$621.70 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$601.96 |
| 71045 |
Radiologic examination, chest; single view |
85 |
78 |
$385.86 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$260.99 |
| 77080 |
|
17 |
17 |
$230.63 |
| 73630 |
|
16 |
15 |
$114.79 |
| 73560 |
|
16 |
14 |
$84.94 |