| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,918 |
1,431 |
$52K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,895 |
1,415 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
629 |
600 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
573 |
547 |
$25K |
| 76642 |
|
1,180 |
769 |
$24K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
851 |
588 |
$21K |
| 77065 |
Tomosynthesis, mammo |
593 |
367 |
$15K |
| 77066 |
Tomosynthesis, mammo |
418 |
264 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,836 |
1,705 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,054 |
1,799 |
$8K |
| 71250 |
|
235 |
216 |
$4K |
| 71271 |
|
75 |
74 |
$2K |
| 73630 |
|
123 |
95 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
31 |
28 |
$977.76 |
| 73610 |
|
56 |
40 |
$850.55 |
| 72100 |
|
61 |
59 |
$754.90 |
| 73560 |
|
62 |
44 |
$723.10 |
| 73030 |
|
42 |
39 |
$435.35 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$426.40 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$223.90 |
| 73562 |
|
14 |
14 |
$127.05 |
| 74018 |
|
26 |
26 |
$120.34 |
| 7025F |
|
182 |
180 |
$0.00 |
| 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) |
630 |
583 |
$0.00 |
| 3341F |
|
28 |
27 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
143 |
139 |
$0.00 |