| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
947 |
587 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
455 |
317 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
125 |
94 |
$2K |
| 73630 |
|
818 |
438 |
$1K |
| 73610 |
|
270 |
164 |
$777.95 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
173 |
131 |
$538.61 |
| 73560 |
|
259 |
137 |
$463.41 |
| 72110 |
|
192 |
128 |
$352.49 |
| 76830 |
Ultrasound, transvaginal |
94 |
72 |
$330.61 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
218 |
143 |
$318.98 |
| 73030 |
|
92 |
60 |
$234.04 |
| 73130 |
|
175 |
81 |
$231.45 |
| 76536 |
|
58 |
40 |
$214.70 |
| 73562 |
|
22 |
14 |
$140.79 |
| 73110 |
|
28 |
14 |
$0.00 |
| 77080 |
|
14 |
12 |
$0.00 |