| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
850 |
826 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
96 |
96 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
94 |
94 |
$2K |
| 72100 |
|
157 |
153 |
$2K |
| 76830 |
Ultrasound, transvaginal |
47 |
47 |
$1K |
| 72110 |
|
79 |
72 |
$1K |
| 73562 |
|
90 |
83 |
$923.10 |
| 73030 |
|
111 |
101 |
$833.82 |
| 76857 |
|
57 |
57 |
$815.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$367.43 |
| 73564 |
|
23 |
17 |
$285.40 |
| 73630 |
|
30 |
26 |
$279.38 |
| 74018 |
|
39 |
39 |
$251.37 |
| 73502 |
|
22 |
20 |
$165.35 |
| 73610 |
|
12 |
12 |
$100.56 |
| 71045 |
Radiologic examination, chest; single view |
17 |
12 |
$59.41 |