| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
813 |
677 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
1,286 |
1,120 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
685 |
572 |
$11K |
| 76642 |
|
330 |
254 |
$9K |
| 76536 |
|
93 |
81 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 77066 |
Tomosynthesis, mammo |
49 |
37 |
$2K |
| 74018 |
|
86 |
84 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
98 |
66 |
$1K |
| 74019 |
|
59 |
39 |
$631.26 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
46 |
36 |
$234.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
88 |
65 |
$0.01 |
| 77062 |
|
15 |
12 |
$0.00 |