| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
3,068 |
1,514 |
$161K |
| 77066 |
Tomosynthesis, mammo |
1,344 |
1,331 |
$120K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,252 |
1,248 |
$104K |
| 76536 |
|
222 |
221 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
170 |
170 |
$11K |
| 76830 |
Ultrasound, transvaginal |
110 |
110 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
360 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
286 |
284 |
$4K |
| 72100 |
|
135 |
133 |
$3K |
| 77065 |
Tomosynthesis, mammo |
44 |
40 |
$3K |
| 77080 |
|
105 |
105 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
43 |
$2K |
| 73560 |
|
128 |
103 |
$2K |
| 76770 |
|
15 |
15 |
$841.90 |