| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
103 |
103 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
295 |
276 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
80 |
$2K |
| 76830 |
Ultrasound, transvaginal |
75 |
75 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
208 |
169 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
28 |
$882.87 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
35 |
34 |
$808.82 |
| S9999 |
Sales tax |
270 |
247 |
$599.17 |
| 73562 |
|
55 |
46 |
$442.01 |
| 72110 |
|
27 |
27 |
$350.77 |
| 73110 |
|
31 |
24 |
$257.58 |
| 73630 |
|
33 |
26 |
$218.20 |
| 73130 |
|
20 |
16 |
$160.28 |
| 74018 |
|
17 |
17 |
$134.94 |
| 73610 |
|
15 |
14 |
$129.66 |