| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,377 |
1,053 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,262 |
968 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
449 |
436 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
473 |
454 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,727 |
1,469 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
900 |
864 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
93 |
69 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
34 |
$1K |
| 77066 |
Tomosynthesis, mammo |
18 |
12 |
$537.16 |
| 76642 |
|
17 |
15 |
$405.80 |