| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
376 |
305 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
355 |
288 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
109 |
103 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,516 |
1,306 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
890 |
854 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
60 |
58 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
89 |
88 |
$3K |
| 76830 |
Ultrasound, transvaginal |
85 |
83 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
128 |
126 |
$2K |
| 76642 |
|
90 |
73 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
67 |
39 |
$1K |
| 93976 |
|
59 |
56 |
$1K |
| 76770 |
|
26 |
26 |
$692.20 |
| 77066 |
Tomosynthesis, mammo |
20 |
12 |
$560.01 |
| 74018 |
|
101 |
95 |
$445.55 |
| 73610 |
|
21 |
12 |
$416.15 |
| 73630 |
|
28 |
24 |
$345.71 |
| 73110 |
|
13 |
12 |
$133.20 |
| 73130 |
|
12 |
12 |
$113.97 |