| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,349 |
3,341 |
$422K |
| 76641 |
|
3,982 |
2,073 |
$307K |
| 77066 |
Tomosynthesis, mammo |
769 |
767 |
$117K |
| 77065 |
Tomosynthesis, mammo |
416 |
414 |
$49K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
240 |
239 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
46 |
$1K |
| 76536 |
|
12 |
12 |
$744.06 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
15 |
$685.90 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
17 |
17 |
$550.80 |
| 99072 |
|
105 |
105 |
$0.00 |