| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76642 |
|
2,046 |
1,349 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
523 |
523 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,452 |
1,404 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,607 |
1,195 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
314 |
310 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
105 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
249 |
233 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
117 |
116 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
42 |
$762.55 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$520.86 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$508.25 |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$468.49 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$457.00 |
| 76536 |
|
26 |
26 |
$376.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
47 |
$0.00 |
| 99080 |
|
390 |
191 |
$0.00 |