| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,103 |
2,046 |
$74K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,938 |
1,893 |
$32K |
| 76642 |
|
647 |
561 |
$27K |
| 77066 |
Tomosynthesis, mammo |
138 |
133 |
$10K |
| 76830 |
Ultrasound, transvaginal |
158 |
152 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
208 |
195 |
$4K |
| 77065 |
Tomosynthesis, mammo |
82 |
82 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
158 |
152 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
124 |
108 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
45 |
42 |
$2K |
| 76801 |
|
69 |
58 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
22 |
20 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
103 |
$916.02 |
| 76857 |
|
30 |
30 |
$567.26 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$517.33 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
16 |
$446.42 |
| 71045 |
Radiologic examination, chest; single view |
74 |
57 |
$350.17 |