| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
687 |
685 |
$28K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
599 |
597 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,430 |
1,279 |
$13K |
| 76642 |
|
109 |
100 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
86 |
86 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
98 |
98 |
$3K |
| 93975 |
|
12 |
12 |
$1K |
| 77065 |
Tomosynthesis, mammo |
29 |
26 |
$969.21 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$752.64 |
| 77080 |
|
76 |
76 |
$722.12 |
| 77062 |
|
12 |
12 |
$370.58 |
| 93976 |
|
13 |
13 |
$348.21 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$288.06 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$259.26 |