| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,271 |
971 |
$33K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,262 |
963 |
$28K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
560 |
422 |
$13K |
| 76641 |
|
309 |
182 |
$9K |
| 77066 |
Tomosynthesis, mammo |
239 |
173 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
104 |
102 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
111 |
106 |
$5K |
| 76642 |
|
222 |
156 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
933 |
809 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
202 |
200 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$249.23 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$226.41 |