| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,205 |
2,934 |
$267K |
| 76641 |
|
1,428 |
1,265 |
$107K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
599 |
529 |
$43K |
| 76536 |
|
355 |
313 |
$25K |
| 77066 |
Tomosynthesis, mammo |
202 |
178 |
$18K |
| 72100 |
|
460 |
395 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
271 |
240 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
15 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
246 |
202 |
$2K |
| 72040 |
|
75 |
65 |
$2K |
| 74018 |
|
112 |
70 |
$2K |
| 73562 |
|
27 |
27 |
$960.91 |
| 76770 |
|
12 |
12 |
$943.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$840.52 |
| 73560 |
|
24 |
12 |
$686.10 |
| 73620 |
|
57 |
52 |
$595.23 |
| 73030 |
|
15 |
12 |
$370.42 |
| 73600 |
|
15 |
13 |
$220.30 |