| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,590 |
1,583 |
$46K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,570 |
1,563 |
$37K |
| 76642 |
|
411 |
404 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
993 |
988 |
$8K |
| 77066 |
Tomosynthesis, mammo |
134 |
130 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
441 |
425 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
84 |
80 |
$3K |
| 77062 |
|
122 |
117 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 93976 |
|
27 |
27 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
55 |
$1K |
| 72110 |
|
72 |
72 |
$957.70 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$822.11 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$693.00 |
| 71271 |
|
12 |
12 |
$549.24 |
| 77065 |
Tomosynthesis, mammo |
27 |
25 |
$518.21 |
| 73030 |
|
50 |
49 |
$445.62 |
| 72114 |
|
33 |
33 |
$417.92 |
| 72100 |
|
37 |
37 |
$365.98 |
| 73630 |
|
29 |
29 |
$223.30 |
| 72050 |
|
13 |
13 |
$157.48 |
| 73562 |
|
12 |
12 |
$131.47 |
| 73610 |
|
12 |
12 |
$103.10 |
| 72040 |
|
13 |
13 |
$101.17 |
| 73502 |
|
12 |
12 |
$91.66 |
| 74018 |
|
12 |
12 |
$91.17 |
| 77080 |
|
13 |
13 |
$89.90 |
| 3342F |
|
12 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
31 |
31 |
$0.00 |
| 7025F |
|
339 |
339 |
$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) |
227 |
226 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
78 |
78 |
$0.00 |