| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19,292 |
19,213 |
$2.37M |
| 76642 |
|
12,920 |
10,859 |
$989K |
| 77066 |
Tomosynthesis, mammo |
5,505 |
5,435 |
$795K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15,128 |
15,073 |
$748K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
4,602 |
4,581 |
$212K |
| 77065 |
Tomosynthesis, mammo |
927 |
893 |
$101K |
| 76982 |
|
1,039 |
1,025 |
$89K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
221 |
216 |
$60K |
| 77080 |
|
1,063 |
1,057 |
$32K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
68 |
67 |
$10K |
| 72197 |
|
26 |
26 |
$9K |
| 19083 |
|
13 |
13 |
$8K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
135 |
134 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |
| 99072 |
|
94 |
93 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
16 |
16 |
$317.76 |
| 0346T |
|
38 |
38 |
$0.00 |