| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
182 |
181 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
216 |
216 |
$20K |
| 93975 |
|
117 |
117 |
$16K |
| 76641 |
|
166 |
101 |
$14K |
| 93923 |
|
101 |
101 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
357 |
$7K |
| 95924 |
|
70 |
70 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
55 |
55 |
$3K |
| 76536 |
|
31 |
31 |
$3K |
| 93976 |
|
59 |
51 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
150 |
130 |
$2K |
| 93978 |
|
14 |
14 |
$1K |
| 93970 |
|
72 |
61 |
$1K |
| 76770 |
|
80 |
75 |
$879.79 |
| 77080 |
|
19 |
19 |
$407.32 |
| 72100 |
|
14 |
14 |
$396.20 |