| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,601 |
2,144 |
$68K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,543 |
2,094 |
$56K |
| 76642 |
|
1,737 |
1,222 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
503 |
463 |
$32K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,034 |
862 |
$23K |
| 77065 |
Tomosynthesis, mammo |
759 |
524 |
$18K |
| 77066 |
Tomosynthesis, mammo |
570 |
362 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,852 |
1,516 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,238 |
1,123 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
78 |
76 |
$4K |
| 73630 |
|
63 |
57 |
$726.24 |
| 73030 |
|
16 |
12 |
$182.68 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$127.92 |
| 73110 |
|
12 |
12 |
$110.72 |
| 73130 |
|
13 |
13 |
$100.65 |
| 7025F |
|
324 |
320 |
$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) |
54 |
48 |
$0.00 |
| 3341F |
|
16 |
16 |
$0.00 |