| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,395 |
1,282 |
$57K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,373 |
1,265 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
174 |
166 |
$13K |
| 76830 |
Ultrasound, transvaginal |
119 |
117 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
98 |
96 |
$3K |
| 76642 |
|
77 |
72 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
74 |
$2K |
| 71250 |
|
98 |
88 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
20 |
$1K |
| 71271 |
|
29 |
29 |
$920.04 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$454.03 |
| 76536 |
|
14 |
13 |
$365.10 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$341.55 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$323.96 |
| 76376 |
|
13 |
12 |
$62.51 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
13 |
$8.80 |