| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
418 |
411 |
$12K |
| 73564 |
|
518 |
454 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
150 |
146 |
$4K |
| 76830 |
Ultrasound, transvaginal |
149 |
145 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
88 |
87 |
$3K |
| 73030 |
|
353 |
322 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
271 |
267 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
147 |
143 |
$2K |
| 73130 |
|
248 |
211 |
$2K |
| 73630 |
|
226 |
205 |
$2K |
| 73110 |
|
207 |
192 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
65 |
64 |
$1K |
| 73610 |
|
146 |
139 |
$997.35 |
| 72110 |
|
87 |
82 |
$984.36 |
| 73502 |
|
119 |
114 |
$843.23 |
| 72050 |
|
78 |
77 |
$827.79 |
| 72120 |
|
70 |
66 |
$515.61 |
| 76642 |
|
12 |
12 |
$372.24 |
| 76536 |
|
17 |
17 |
$359.59 |
| 73080 |
|
52 |
48 |
$352.22 |
| 73562 |
|
30 |
28 |
$280.63 |
| 72100 |
|
29 |
28 |
$173.53 |
| 73140 |
|
29 |
26 |
$168.63 |
| 74018 |
|
13 |
12 |
$83.43 |