| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,325 |
2,109 |
$60K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,241 |
2,029 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
981 |
950 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
481 |
444 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
4,308 |
4,074 |
$22K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
509 |
447 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,452 |
1,971 |
$10K |
| 73630 |
|
560 |
487 |
$6K |
| 76642 |
|
288 |
255 |
$6K |
| 77066 |
Tomosynthesis, mammo |
166 |
145 |
$5K |
| 73564 |
|
286 |
247 |
$3K |
| 72100 |
|
132 |
128 |
$2K |
| 73610 |
|
95 |
81 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$1K |
| 77065 |
Tomosynthesis, mammo |
41 |
38 |
$1K |
| 73030 |
|
101 |
95 |
$989.53 |
| 74018 |
|
207 |
194 |
$810.08 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$438.40 |
| 73130 |
|
17 |
14 |
$153.91 |
| 74019 |
|
25 |
25 |
$136.38 |