| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
474 |
474 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
471 |
471 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
190 |
183 |
$15K |
| 76641 |
|
143 |
137 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
81 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
69 |
69 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
163 |
163 |
$3K |
| 77072 |
|
255 |
255 |
$3K |
| 76820 |
|
63 |
61 |
$2K |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
138 |
135 |
$0.00 |