| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
437 |
436 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
434 |
433 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
916 |
905 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
93 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
682 |
616 |
$5K |
| 73610 |
|
112 |
105 |
$964.20 |
| 73630 |
|
100 |
98 |
$874.71 |
| 73030 |
|
50 |
50 |
$490.36 |
| 73130 |
|
53 |
53 |
$439.36 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$424.62 |
| 76642 |
|
12 |
12 |
$386.78 |
| 73110 |
|
25 |
25 |
$199.05 |