| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,066 |
1,027 |
$114K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
974 |
944 |
$37K |
| 76642 |
|
316 |
298 |
$23K |
| 93976 |
|
74 |
73 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
13 |
$2K |
| 76536 |
|
13 |
13 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$979.94 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$883.64 |
| 77080 |
|
17 |
17 |
$456.11 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
12 |
$412.20 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
13 |
$292.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
45 |
41 |
$169.20 |