| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
942 |
933 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
195 |
186 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
905 |
811 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
181 |
175 |
$3K |
| 76376 |
|
581 |
506 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
143 |
142 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
373 |
355 |
$2K |
| 77066 |
Tomosynthesis, mammo |
58 |
52 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
24 |
$1K |
| 77065 |
Tomosynthesis, mammo |
32 |
28 |
$637.40 |
| 93976 |
|
18 |
16 |
$269.36 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$265.65 |
| 76642 |
|
13 |
13 |
$242.87 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
12 |
$233.45 |
| 73030 |
|
14 |
12 |
$133.47 |