| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,528 |
1,355 |
$86K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
464 |
439 |
$39K |
| 76641 |
|
685 |
574 |
$37K |
| 76830 |
Ultrasound, transvaginal |
884 |
858 |
$24K |
| 76536 |
|
116 |
108 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
411 |
362 |
$4K |
| 76770 |
|
104 |
94 |
$4K |
| 77080 |
|
331 |
250 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,195 |
1,043 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
48 |
44 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
52 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$959.93 |
| 71250 |
|
15 |
15 |
$569.77 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$0.00 |