| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,580 |
6,314 |
$194K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,354 |
6,057 |
$156K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
2,282 |
1,893 |
$46K |
| 77066 |
Tomosynthesis, mammo |
1,247 |
1,019 |
$39K |
| 76642 |
|
1,775 |
1,365 |
$38K |
| 77065 |
Tomosynthesis, mammo |
1,047 |
853 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,254 |
3,328 |
$17K |
| 76641 |
|
404 |
242 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,573 |
1,446 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
92 |
$4K |
| 77080 |
|
138 |
133 |
$2K |
| 74018 |
|
227 |
196 |
$900.67 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
16 |
$579.81 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
17 |
$510.82 |
| 73630 |
|
32 |
31 |
$327.32 |
| 73030 |
|
25 |
25 |
$215.64 |
| 72100 |
|
13 |
13 |
$200.90 |
| 73562 |
|
16 |
16 |
$168.56 |