| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,551 |
1,549 |
$59K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,296 |
1,295 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
398 |
398 |
$12K |
| 76641 |
|
322 |
279 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
730 |
727 |
$7K |
| 77080 |
|
95 |
95 |
$839.31 |
| 76536 |
|
27 |
27 |
$538.57 |
| 76770 |
|
12 |
12 |
$399.55 |
| 73562 |
|
19 |
15 |
$231.53 |
| 76830 |
Ultrasound, transvaginal |
164 |
164 |
$101.24 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
14 |
14 |
$0.00 |