| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
25 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
26 |
$187.18 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
45 |
41 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
84 |
75 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |