| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
561 |
561 |
$47K |
| 76641 |
|
178 |
172 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
128 |
127 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
20 |
20 |
$4K |
| 93978 |
|
18 |
18 |
$3K |
| 76770 |
|
63 |
62 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
49 |
49 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
86 |
86 |
$2K |
| 76820 |
|
20 |
20 |
$590.80 |