| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
285 |
281 |
$9K |
| 76377 |
|
192 |
154 |
$8K |
| 77066 |
Tomosynthesis, mammo |
261 |
210 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
95 |
88 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
572 |
438 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
68 |
53 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
20 |
12 |
$1K |
| 72110 |
|
15 |
12 |
$371.79 |
| 3342F |
|
943 |
868 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
166 |
133 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
312 |
225 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
458 |
392 |
$0.00 |
| G9547 |
Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols |
1,060 |
917 |
$0.00 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
1,061 |
917 |
$0.00 |
| 7025F |
|
1,152 |
1,062 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
246 |
242 |
$0.00 |