| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,974 |
4,044 |
$127K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,806 |
3,908 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
770 |
684 |
$46K |
| 76642 |
|
2,340 |
1,714 |
$45K |
| 77066 |
Tomosynthesis, mammo |
1,211 |
972 |
$38K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,864 |
1,541 |
$37K |
| 76641 |
|
1,180 |
651 |
$29K |
| 77065 |
Tomosynthesis, mammo |
480 |
404 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,981 |
1,583 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
133 |
128 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
819 |
737 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
83 |
80 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
12 |
$314.12 |