| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77063 |
Screening digital breast tomosynthesis, bilateral |
278 |
220 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
200 |
200 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
38 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
51 |
51 |
$1K |
| 76642 |
|
51 |
43 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
146 |
137 |
$644.15 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$467.43 |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$456.41 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
62 |
$370.92 |