| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
67 |
53 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,004 |
936 |
$6K |
| 73630 |
|
315 |
266 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
32 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 73562 |
|
138 |
123 |
$778.63 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
27 |
$737.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
18 |
$231.05 |
| 73610 |
|
27 |
24 |
$117.54 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
17 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$0.00 |