| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,236 |
3,169 |
$123K |
| 71046 |
Radiologic examination, chest; 2 views |
3,747 |
3,516 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
721 |
639 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
608 |
567 |
$19K |
| 76641 |
|
408 |
387 |
$18K |
| 76830 |
Ultrasound, transvaginal |
343 |
313 |
$13K |
| 76801 |
|
211 |
190 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
111 |
109 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,216 |
948 |
$7K |
| 76770 |
|
182 |
155 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
194 |
170 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
175 |
149 |
$6K |
| 77065 |
Tomosynthesis, mammo |
106 |
91 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
75 |
71 |
$3K |
| 71020 |
|
293 |
274 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
38 |
$3K |
| 73630 |
|
190 |
159 |
$2K |
| 76818 |
|
18 |
15 |
$889.12 |
| 77080 |
|
119 |
118 |
$836.92 |
| 76536 |
|
24 |
24 |
$720.32 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$565.99 |
| 73030 |
|
60 |
50 |
$499.29 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$463.24 |
| 72100 |
|
47 |
45 |
$422.36 |
| 73130 |
|
14 |
14 |
$237.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
77 |
$0.00 |