| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,056 |
2,739 |
$104K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,726 |
2,431 |
$62K |
| 76642 |
|
701 |
594 |
$15K |
| 76641 |
|
378 |
259 |
$11K |
| 77066 |
Tomosynthesis, mammo |
354 |
291 |
$11K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
386 |
342 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
93 |
87 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
976 |
852 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
46 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
48 |
28 |
$1K |
| 77065 |
Tomosynthesis, mammo |
46 |
42 |
$963.84 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
13 |
$798.32 |
| 71046 |
Radiologic examination, chest; 2 views |
131 |
123 |
$755.75 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$683.10 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
15 |
$569.31 |
| 73630 |
|
25 |
24 |
$235.40 |
| 74018 |
|
34 |
30 |
$85.34 |