| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
473 |
473 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
471 |
471 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
698 |
696 |
$14K |
| 76641 |
|
100 |
63 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$2K |
| 77072 |
|
58 |
58 |
$724.06 |
| 73630 |
|
28 |
27 |
$472.50 |
| 74018 |
|
24 |
24 |
$441.96 |
| 71045 |
Radiologic examination, chest; single view |
17 |
17 |
$226.92 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
13 |
13 |
$0.00 |
| 7025F |
|
81 |
81 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
94 |
94 |
$0.00 |