| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,338 |
2,338 |
$99K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,332 |
2,332 |
$53K |
| 76642 |
|
782 |
732 |
$21K |
| 77066 |
Tomosynthesis, mammo |
76 |
75 |
$3K |
| 77062 |
|
64 |
63 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
59 |
$511.53 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$488.40 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$268.02 |