| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
527 |
522 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
537 |
524 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
234 |
173 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
78 |
78 |
$549.36 |
| 76830 |
Ultrasound, transvaginal |
65 |
65 |
$453.30 |
| 71046 |
Radiologic examination, chest; 2 views |
123 |
123 |
$301.63 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
16 |
$154.74 |
| 99053 |
|
12 |
12 |
$0.00 |