| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,270 |
983 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,189 |
923 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
357 |
339 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,173 |
1,784 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
117 |
112 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
715 |
662 |
$4K |
| 77080 |
|
439 |
428 |
$3K |
| 76642 |
|
73 |
68 |
$2K |
| 76641 |
|
55 |
37 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
27 |
$1K |
| 74018 |
|
262 |
229 |
$960.71 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$422.98 |
| 73030 |
|
31 |
27 |
$304.42 |
| 73564 |
|
13 |
13 |
$143.17 |
| 7025F |
|
14 |
13 |
$0.00 |