| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,825 |
1,470 |
$47K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,820 |
1,464 |
$38K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
578 |
476 |
$12K |
| 77066 |
Tomosynthesis, mammo |
329 |
261 |
$10K |
| 76642 |
|
407 |
332 |
$8K |
| 76641 |
|
312 |
185 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
108 |
91 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
112 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
36 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
598 |
520 |
$2K |
| 77065 |
Tomosynthesis, mammo |
98 |
85 |
$2K |
| 71250 |
|
38 |
38 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
44 |
41 |
$864.80 |
| 71046 |
Radiologic examination, chest; 2 views |
146 |
145 |
$807.01 |
| 76830 |
Ultrasound, transvaginal |
18 |
12 |
$517.96 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$502.87 |