| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,777 |
1,773 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
3,613 |
3,607 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,217 |
1,216 |
$28K |
| 76830 |
Ultrasound, transvaginal |
888 |
886 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
383 |
383 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,028 |
1,024 |
$12K |
| 77080 |
|
325 |
325 |
$6K |
| 76642 |
|
198 |
198 |
$4K |
| 73030 |
|
499 |
447 |
$3K |
| 77066 |
Tomosynthesis, mammo |
55 |
55 |
$3K |
| 77065 |
Tomosynthesis, mammo |
78 |
78 |
$3K |
| 73562 |
|
342 |
292 |
$2K |
| 76801 |
|
57 |
57 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
52 |
52 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$829.72 |
| 76870 |
|
12 |
12 |
$255.70 |
| 82565 |
|
15 |
15 |
$32.04 |
| 84520 |
|
15 |
15 |
$23.64 |