| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,988 |
6,970 |
$834K |
| 76641 |
|
1,728 |
1,649 |
$166K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,296 |
2,295 |
$108K |
| 76801 |
|
1,384 |
1,269 |
$97K |
| 76830 |
Ultrasound, transvaginal |
2,393 |
2,386 |
$96K |
| 77066 |
Tomosynthesis, mammo |
620 |
616 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
805 |
797 |
$76K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,329 |
1,324 |
$61K |
| 71046 |
Radiologic examination, chest; 2 views |
1,475 |
1,437 |
$34K |
| 76813 |
|
214 |
168 |
$22K |
| 77065 |
Tomosynthesis, mammo |
115 |
115 |
$13K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
59 |
31 |
$7K |
| 72100 |
|
325 |
325 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
105 |
105 |
$4K |
| 73562 |
|
198 |
154 |
$3K |
| 76642 |
|
33 |
33 |
$3K |
| 73030 |
|
76 |
70 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
62 |
62 |
$883.45 |
| 76536 |
|
13 |
13 |
$767.05 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$591.43 |
| 73630 |
|
32 |
29 |
$351.89 |
| 77080 |
|
14 |
14 |
$296.80 |