| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,776 |
1,768 |
$49K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,768 |
1,760 |
$39K |
| 76642 |
|
253 |
252 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
238 |
238 |
$5K |
| 77066 |
Tomosynthesis, mammo |
66 |
66 |
$2K |
| 76536 |
|
32 |
31 |
$751.44 |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$709.42 |
| 71045 |
Radiologic examination, chest; single view |
74 |
66 |
$466.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$403.65 |