| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
666 |
664 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
667 |
665 |
$9K |
| 76830 |
Ultrasound, transvaginal |
207 |
189 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
148 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
518 |
514 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
89 |
85 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
98 |
93 |
$2K |
| 73630 |
|
315 |
284 |
$1K |
| 72110 |
|
108 |
108 |
$985.86 |
| 73564 |
|
104 |
99 |
$716.26 |
| 73562 |
|
107 |
96 |
$607.26 |
| 93971 |
|
38 |
37 |
$535.29 |
| 73030 |
|
115 |
107 |
$467.54 |
| 76536 |
|
13 |
12 |
$270.15 |
| 73610 |
|
44 |
42 |
$252.14 |
| 73502 |
|
42 |
42 |
$234.36 |
| 76770 |
|
13 |
12 |
$225.60 |
| 72100 |
|
27 |
27 |
$134.95 |
| 73130 |
|
15 |
13 |
$97.41 |
| 72050 |
|
12 |
12 |
$81.57 |
| 73560 |
|
17 |
16 |
$51.41 |