| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
704 |
647 |
$16K |
| 76642 |
|
164 |
132 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
129 |
94 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
58 |
41 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
31 |
$874.24 |
| 77066 |
Tomosynthesis, mammo |
29 |
26 |
$662.64 |