| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,434 |
4,038 |
$366K |
| 76641 |
|
2,171 |
1,888 |
$169K |
| 76536 |
|
981 |
791 |
$88K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
935 |
794 |
$84K |
| 77080 |
|
1,328 |
1,082 |
$42K |
| 77066 |
Tomosynthesis, mammo |
332 |
293 |
$31K |
| 76830 |
Ultrasound, transvaginal |
366 |
331 |
$29K |
| 76770 |
|
323 |
238 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
119 |
91 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
31 |
$614.31 |
| 72100 |
|
14 |
14 |
$199.40 |
| 71045 |
Radiologic examination, chest; single view |
35 |
35 |
$195.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$172.50 |