| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
509 |
408 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
344 |
280 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
438 |
338 |
$3K |
| 76642 |
|
68 |
24 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$566.99 |
| 71046 |
Radiologic examination, chest; 2 views |
65 |
50 |
$364.03 |
| 3342F |
|
91 |
86 |
$0.00 |
| 7025F |
|
231 |
220 |
$0.00 |