| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,803 |
1,802 |
$221K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,051 |
1,042 |
$91K |
| 76641 |
|
472 |
313 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
299 |
299 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
942 |
934 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,583 |
1,233 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
63 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
55 |
55 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
102 |
99 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
218 |
203 |
$2K |
| 72110 |
|
12 |
12 |
$324.13 |
| 73030 |
|
18 |
16 |
$238.32 |
| 73562 |
|
15 |
14 |
$212.38 |