| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
846 |
845 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
842 |
841 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,498 |
1,491 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
213 |
210 |
$7K |
| 76642 |
|
184 |
167 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
442 |
417 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
120 |
117 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
89 |
86 |
$3K |
| 76830 |
Ultrasound, transvaginal |
82 |
82 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
99 |
99 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
70 |
70 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$2K |
| 93975 |
|
37 |
37 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
51 |
$1K |
| 93976 |
|
41 |
41 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$961.43 |
| 76376 |
|
94 |
94 |
$699.58 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
25 |
25 |
$609.67 |
| 73630 |
|
84 |
79 |
$535.94 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$534.94 |
| 76770 |
|
12 |
12 |
$343.68 |
| 73130 |
|
15 |
14 |
$101.70 |
| 73610 |
|
12 |
12 |
$81.96 |