| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,225 |
806 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,101 |
699 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
795 |
572 |
$32K |
| 76801 |
|
631 |
446 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
883 |
494 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
218 |
99 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
378 |
237 |
$4K |
| 76641 |
|
76 |
28 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
13 |
$342.00 |
| 74018 |
|
12 |
12 |
$192.54 |