| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
533 |
481 |
$52K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
702 |
566 |
$42K |
| 76830 |
Ultrasound, transvaginal |
544 |
439 |
$40K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
405 |
343 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
1,283 |
1,082 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
249 |
219 |
$19K |
| 76642 |
|
196 |
142 |
$11K |
| 77065 |
Tomosynthesis, mammo |
53 |
40 |
$4K |
| 72110 |
|
95 |
73 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
51 |
40 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
42 |
39 |
$2K |
| 76536 |
|
32 |
25 |
$2K |
| 77066 |
Tomosynthesis, mammo |
15 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
81 |
77 |
$1K |
| 73564 |
|
37 |
25 |
$927.12 |
| 74018 |
|
29 |
28 |
$710.71 |
| 71047 |
|
21 |
15 |
$468.87 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$50.88 |