| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,168 |
1,836 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
912 |
610 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
379 |
345 |
$18K |
| 76642 |
|
379 |
304 |
$8K |
| 77066 |
Tomosynthesis, mammo |
185 |
147 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,444 |
1,190 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
135 |
105 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
458 |
429 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$863.01 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$717.41 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$382.62 |