| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
797 |
763 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
703 |
670 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
129 |
127 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,210 |
986 |
$4K |
| 76642 |
|
213 |
191 |
$4K |
| 77066 |
Tomosynthesis, mammo |
40 |
39 |
$954.62 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
59 |
59 |
$927.00 |
| 71046 |
Radiologic examination, chest; 2 views |
157 |
154 |
$903.03 |
| 77065 |
Tomosynthesis, mammo |
40 |
40 |
$896.05 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$342.04 |
| 76641 |
|
15 |
13 |
$336.52 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$315.93 |
| 77080 |
|
13 |
13 |
$96.47 |