| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
183 |
136 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
48 |
48 |
$6K |
| 76642 |
|
48 |
46 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$3K |
| 76536 |
|
17 |
16 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
122 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
287 |
219 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$703.68 |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
15 |
$601.04 |
| 74018 |
|
35 |
24 |
$381.21 |