| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,713 |
2,209 |
$133K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,467 |
1,966 |
$69K |
| 76642 |
|
942 |
715 |
$26K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
492 |
414 |
$12K |
| 77066 |
Tomosynthesis, mammo |
257 |
190 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
190 |
176 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
873 |
852 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
76 |
74 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
946 |
838 |
$3K |
| 73610 |
|
131 |
100 |
$2K |
| 77065 |
Tomosynthesis, mammo |
59 |
39 |
$2K |
| 73630 |
|
140 |
93 |
$2K |
| 72100 |
|
71 |
67 |
$745.46 |
| 74018 |
|
89 |
87 |
$545.79 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$454.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$446.07 |
| 73110 |
|
18 |
13 |
$279.28 |
| 73130 |
|
22 |
17 |
$251.11 |
| 73562 |
|
18 |
15 |
$156.76 |
| 77080 |
|
13 |
12 |
$142.86 |
| 73030 |
|
14 |
13 |
$120.58 |
| 73502 |
|
21 |
16 |
$94.14 |
| 7025F |
|
78 |
78 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
42 |
30 |
$0.00 |