| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
67 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
57 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
55 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
25 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
88 |
84 |
$2K |
| 76830 |
Ultrasound, transvaginal |
58 |
57 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
73 |
68 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$520.33 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$491.78 |
| 82565 |
|
46 |
46 |
$168.56 |