| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,053 |
1,597 |
$192K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,950 |
1,523 |
$77K |
| 76641 |
|
229 |
175 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
155 |
140 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
85 |
78 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
101 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
116 |
93 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
531 |
424 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
502 |
403 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
64 |
$2K |
| 76830 |
Ultrasound, transvaginal |
30 |
30 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
31 |
$894.16 |
| 73030 |
|
74 |
69 |
$776.78 |
| 93970 |
|
46 |
36 |
$730.87 |
| 73562 |
|
64 |
49 |
$698.79 |
| 73630 |
|
63 |
53 |
$679.48 |
| 76642 |
|
30 |
27 |
$657.60 |
| 72100 |
|
42 |
40 |
$518.13 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$473.52 |
| 76770 |
|
15 |
15 |
$383.22 |
| 73560 |
|
30 |
24 |
$369.23 |
| 72110 |
|
13 |
12 |
$230.09 |
| 73130 |
|
19 |
16 |
$185.05 |
| 93971 |
|
14 |
12 |
$169.21 |
| 74018 |
|
24 |
15 |
$115.92 |