| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
452 |
451 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
443 |
442 |
$3K |
| 76642 |
|
140 |
109 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
114 |
114 |
$982.27 |
| 73564 |
|
190 |
155 |
$609.40 |
| 76830 |
Ultrasound, transvaginal |
80 |
80 |
$603.04 |
| 72100 |
|
51 |
50 |
$424.06 |
| 72052 |
|
54 |
54 |
$201.24 |
| 71046 |
Radiologic examination, chest; 2 views |
139 |
138 |
$193.46 |
| 73630 |
|
110 |
80 |
$169.54 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$166.40 |
| 73030 |
|
22 |
19 |
$67.78 |
| 73110 |
|
35 |
28 |
$25.14 |
| 73130 |
|
36 |
27 |
$12.38 |
| 7025F |
|
329 |
328 |
$0.00 |
| 3341F |
|
258 |
258 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
40 |
40 |
$0.00 |