| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
464 |
452 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,668 |
2,252 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,453 |
1,378 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
405 |
405 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
192 |
188 |
$3K |
| 73630 |
|
254 |
239 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
37 |
37 |
$1K |
| 77066 |
Tomosynthesis, mammo |
28 |
28 |
$726.45 |
| 73560 |
|
78 |
67 |
$650.07 |
| 76801 |
|
13 |
12 |
$371.04 |
| 73030 |
|
36 |
33 |
$336.12 |
| 73130 |
|
35 |
25 |
$292.94 |
| 73110 |
|
26 |
25 |
$232.15 |
| 73610 |
|
14 |
13 |
$202.78 |
| 73140 |
|
12 |
12 |
$80.07 |
| 77080 |
|
12 |
12 |
$78.48 |
| 73502 |
|
14 |
14 |
$67.50 |
| 74018 |
|
13 |
13 |
$60.17 |