| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,678 |
2,401 |
$109K |
| 76641 |
|
983 |
646 |
$62K |
| 93976 |
|
184 |
167 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,578 |
1,386 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
125 |
120 |
$10K |
| 77066 |
Tomosynthesis, mammo |
139 |
123 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
175 |
156 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
243 |
219 |
$3K |
| 93975 |
|
12 |
12 |
$2K |
| 77065 |
Tomosynthesis, mammo |
59 |
46 |
$2K |
| 76642 |
|
65 |
59 |
$2K |
| 72100 |
|
106 |
102 |
$2K |
| 77080 |
|
82 |
77 |
$843.70 |
| 76770 |
|
12 |
12 |
$724.43 |
| 73562 |
|
46 |
34 |
$598.61 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
39 |
$345.31 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$298.79 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
301 |
215 |
$104.59 |
| 72040 |
|
17 |
14 |
$74.16 |