| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
474 |
388 |
$51K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
184 |
154 |
$8K |
| 76536 |
|
29 |
28 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
316 |
236 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
145 |
112 |
$1K |
| 76830 |
Ultrasound, transvaginal |
17 |
16 |
$1K |
| 76642 |
|
14 |
14 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |
| 76942 |
|
15 |
13 |
$1K |
| 10022 |
|
14 |
12 |
$794.49 |
| 99053 |
|
20 |
19 |
$0.00 |