| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
505 |
503 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
112 |
112 |
$9K |
| 76830 |
Ultrasound, transvaginal |
110 |
108 |
$9K |
| 76536 |
|
125 |
125 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
339 |
334 |
$7K |
| 76642 |
|
151 |
150 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
245 |
245 |
$5K |
| 73140 |
|
205 |
202 |
$5K |
| 76770 |
|
42 |
42 |
$4K |
| 77072 |
|
247 |
246 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$2K |
| 73630 |
|
48 |
45 |
$1K |
| 76641 |
|
14 |
14 |
$953.70 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$821.90 |
| 73130 |
|
19 |
18 |
$494.39 |
| 73110 |
|
14 |
13 |
$396.89 |