| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,759 |
2,355 |
$72K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,256 |
1,903 |
$47K |
| 76642 |
|
1,178 |
860 |
$22K |
| 77066 |
Tomosynthesis, mammo |
550 |
402 |
$17K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
574 |
509 |
$11K |
| 77065 |
Tomosynthesis, mammo |
107 |
85 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$758.22 |
| 71045 |
Radiologic examination, chest; single view |
156 |
128 |
$544.56 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
22 |
$84.76 |
| 7025F |
|
451 |
434 |
$0.00 |
| 3341F |
|
158 |
143 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
12 |
12 |
$0.00 |
| 3342F |
|
12 |
12 |
$0.00 |