| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,470 |
4,335 |
$222K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,904 |
3,801 |
$83K |
| 76642 |
|
1,285 |
1,147 |
$53K |
| 77066 |
Tomosynthesis, mammo |
398 |
388 |
$24K |
| 77065 |
Tomosynthesis, mammo |
439 |
421 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
325 |
289 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
43 |
$1K |
| 76830 |
Ultrasound, transvaginal |
39 |
37 |
$823.93 |
| 77062 |
|
12 |
12 |
$735.69 |
| 76641 |
|
22 |
12 |
$648.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$536.79 |
| 76857 |
|
32 |
30 |
$453.85 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$256.34 |