| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
7,229 |
4,612 |
$402K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,244 |
5,041 |
$291K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,840 |
4,643 |
$112K |
| 76830 |
Ultrasound, transvaginal |
1,821 |
1,494 |
$106K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,965 |
1,629 |
$100K |
| 77066 |
Tomosynthesis, mammo |
786 |
738 |
$60K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,327 |
1,175 |
$29K |
| 77065 |
Tomosynthesis, mammo |
325 |
283 |
$17K |
| 93976 |
|
498 |
383 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
99 |
92 |
$15K |
| 77080 |
|
472 |
448 |
$8K |
| 76770 |
|
142 |
113 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
63 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
108 |
79 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
36 |
$679.50 |