| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,945 |
2,925 |
$96K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,444 |
2,441 |
$65K |
| 76642 |
|
855 |
847 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,132 |
1,120 |
$10K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
290 |
290 |
$8K |
| 77066 |
Tomosynthesis, mammo |
169 |
169 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
259 |
227 |
$2K |
| 77065 |
Tomosynthesis, mammo |
52 |
51 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$968.33 |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
26 |
$932.33 |
| 73610 |
|
13 |
13 |
$110.55 |
| 73110 |
|
13 |
13 |
$105.41 |
| 73630 |
|
12 |
12 |
$104.63 |