| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,790 |
2,790 |
$298K |
| 76641 |
|
1,341 |
1,210 |
$135K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,676 |
2,676 |
$118K |
| 76830 |
Ultrasound, transvaginal |
654 |
652 |
$60K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
506 |
505 |
$39K |
| 71271 |
|
50 |
50 |
$6K |
| 76536 |
|
37 |
37 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
112 |
112 |
$836.28 |
| 96160 |
|
437 |
436 |
$429.96 |
| 99072 |
|
5,282 |
5,213 |
$3.51 |