| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
3,054 |
2,530 |
$288K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,827 |
2,815 |
$187K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,435 |
1,424 |
$108K |
| 76830 |
Ultrasound, transvaginal |
1,041 |
1,034 |
$80K |
| 76536 |
|
950 |
948 |
$61K |
| 77066 |
Tomosynthesis, mammo |
424 |
424 |
$45K |
| 76377 |
|
438 |
410 |
$32K |
| 77080 |
|
263 |
261 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
169 |
167 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
490 |
485 |
$7K |
| 72100 |
|
159 |
159 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
44 |
41 |
$4K |
| 76770 |
|
42 |
42 |
$3K |
| 74178 |
|
12 |
12 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$2K |
| 72040 |
|
49 |
49 |
$1K |
| 73560 |
|
15 |
12 |
$405.90 |
| 71045 |
Radiologic examination, chest; single view |
18 |
18 |
$0.00 |