| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
929 |
793 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
857 |
721 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
169 |
166 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,536 |
1,831 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
752 |
698 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
64 |
$2K |
| 73562 |
|
431 |
344 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
44 |
31 |
$901.49 |
| 76801 |
|
16 |
15 |
$573.26 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$444.32 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
29 |
28 |
$371.46 |
| 76642 |
|
15 |
13 |
$266.38 |
| 73610 |
|
32 |
28 |
$261.82 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$191.88 |
| 73502 |
|
55 |
39 |
$180.50 |
| 73630 |
|
30 |
28 |
$173.50 |
| 73030 |
|
16 |
15 |
$109.89 |
| 93970 |
|
13 |
12 |
$104.28 |
| 74018 |
|
12 |
12 |
$43.76 |