| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
4,055 |
2,305 |
$190K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,978 |
2,961 |
$147K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,198 |
2,182 |
$42K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
699 |
699 |
$38K |
| 77080 |
|
1,031 |
1,030 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,743 |
1,735 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
431 |
431 |
$25K |
| 76830 |
Ultrasound, transvaginal |
291 |
290 |
$19K |
| 72110 |
|
375 |
375 |
$8K |
| 73562 |
|
562 |
388 |
$8K |
| 77065 |
Tomosynthesis, mammo |
80 |
80 |
$4K |
| 76770 |
|
55 |
55 |
$3K |
| 73130 |
|
160 |
107 |
$2K |
| 73630 |
|
84 |
58 |
$1K |
| 73030 |
|
76 |
69 |
$1K |
| 72081 |
|
43 |
43 |
$816.54 |
| 72050 |
|
38 |
38 |
$738.68 |
| 73610 |
|
34 |
24 |
$460.54 |
| 76536 |
|
12 |
12 |
$390.88 |
| 73110 |
|
18 |
13 |
$287.37 |
| 3342F |
|
882 |
882 |
$0.00 |
| 3340F |
|
1,393 |
1,392 |
$0.00 |
| 7025F |
|
2,388 |
2,387 |
$0.00 |