| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,228 |
1,995 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,225 |
1,994 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
261 |
229 |
$17K |
| 76642 |
|
557 |
459 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
184 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
661 |
608 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
101 |
94 |
$3K |
| 77065 |
Tomosynthesis, mammo |
125 |
121 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
686 |
557 |
$3K |
| 77066 |
Tomosynthesis, mammo |
69 |
69 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
25 |
$953.38 |
| 76641 |
|
21 |
12 |
$745.04 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
15 |
$422.55 |
| 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) |
623 |
489 |
$26.35 |
| 7025F |
|
340 |
339 |
$0.00 |
| 3341F |
|
54 |
53 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
306 |
273 |
$0.00 |