| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,006 |
1,774 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,536 |
1,313 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
525 |
497 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
466 |
447 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,051 |
1,945 |
$11K |
| 73630 |
|
932 |
848 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,190 |
1,960 |
$10K |
| 73562 |
|
285 |
253 |
$3K |
| 76642 |
|
131 |
112 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
12 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
122 |
112 |
$2K |
| 73610 |
|
156 |
146 |
$2K |
| 73030 |
|
175 |
162 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
61 |
58 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
93 |
$2K |
| 71250 |
|
42 |
42 |
$1K |
| 73130 |
|
109 |
102 |
$1K |
| 77066 |
Tomosynthesis, mammo |
39 |
30 |
$1K |
| 77065 |
Tomosynthesis, mammo |
26 |
26 |
$546.05 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$451.15 |
| 72100 |
|
29 |
29 |
$370.40 |
| 76770 |
|
12 |
12 |
$332.96 |
| 76641 |
|
12 |
12 |
$267.25 |
| 73560 |
|
17 |
15 |
$176.44 |