| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,772 |
1,512 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
721 |
665 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,619 |
1,374 |
$32K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
564 |
424 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
267 |
250 |
$12K |
| 76642 |
|
471 |
362 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,229 |
1,888 |
$8K |
| 77066 |
Tomosynthesis, mammo |
149 |
96 |
$5K |
| 77065 |
Tomosynthesis, mammo |
156 |
121 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
597 |
568 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
47 |
46 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$1K |
| 73610 |
|
16 |
12 |
$274.43 |
| 73630 |
|
18 |
13 |
$209.50 |