| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,339 |
2,981 |
$89K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,745 |
2,424 |
$57K |
| 76642 |
|
1,966 |
1,551 |
$42K |
| 77066 |
Tomosynthesis, mammo |
1,092 |
879 |
$37K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,398 |
1,123 |
$28K |
| 77065 |
Tomosynthesis, mammo |
959 |
747 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
40 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
426 |
386 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
269 |
221 |
$842.57 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$635.28 |
| 77080 |
|
14 |
14 |
$127.53 |
| 77062 |
|
48 |
39 |
$0.00 |
| 77061 |
|
14 |
14 |
$0.00 |