| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,609 |
1,574 |
$148K |
| 76642 |
|
726 |
602 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,577 |
1,499 |
$22K |
| 77066 |
Tomosynthesis, mammo |
201 |
193 |
$15K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
168 |
165 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
21 |
13 |
$2K |
| 77065 |
Tomosynthesis, mammo |
30 |
28 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
63 |
49 |
$1K |