| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,674 |
5,973 |
$615K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,560 |
4,989 |
$148K |
| 76642 |
|
825 |
694 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
2,416 |
2,097 |
$40K |
| 71250 |
|
274 |
252 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
353 |
332 |
$25K |
| 76830 |
Ultrasound, transvaginal |
288 |
271 |
$24K |
| 73562 |
|
766 |
669 |
$19K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
142 |
130 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
41 |
$3K |
| 93971 |
|
34 |
29 |
$3K |
| 77066 |
Tomosynthesis, mammo |
59 |
45 |
$3K |
| 72100 |
|
194 |
150 |
$2K |
| 73030 |
|
86 |
82 |
$2K |
| 77061 |
|
103 |
88 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
31 |
25 |
$785.98 |
| 72070 |
|
15 |
12 |
$305.32 |
| 73502 |
|
16 |
12 |
$41.24 |