| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
576 |
576 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
428 |
427 |
$27K |
| 76830 |
Ultrasound, transvaginal |
247 |
247 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
910 |
906 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
241 |
241 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
317 |
317 |
$8K |
| 73630 |
|
427 |
319 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$2K |
| 76536 |
|
54 |
53 |
$2K |
| 72110 |
|
96 |
96 |
$2K |
| 76641 |
|
42 |
29 |
$1K |
| 73564 |
|
60 |
39 |
$1K |
| 73030 |
|
63 |
53 |
$952.54 |
| 76775 |
|
14 |
14 |
$823.01 |
| 76801 |
|
13 |
13 |
$793.78 |
| 73610 |
|
32 |
26 |
$438.94 |
| 72050 |
|
14 |
14 |
$365.06 |
| 73562 |
|
18 |
13 |
$303.29 |
| 74018 |
|
12 |
12 |
$195.84 |