| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
730 |
710 |
$71K |
| 93976 |
|
382 |
345 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
715 |
695 |
$24K |
| 76641 |
|
238 |
212 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
220 |
193 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
704 |
620 |
$9K |
| 71271 |
|
17 |
17 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$2K |
| 76536 |
|
26 |
24 |
$1K |
| 73562 |
|
77 |
64 |
$1K |
| 72100 |
|
26 |
26 |
$542.08 |
| 72110 |
|
13 |
12 |
$320.53 |
| 73030 |
|
15 |
13 |
$181.53 |
| 73130 |
|
12 |
12 |
$164.05 |
| 0174T |
|
17 |
13 |
$140.07 |
| G9737 |
Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available |
30 |
30 |
$0.00 |