| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,872 |
1,294 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,872 |
1,294 |
$45K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
653 |
460 |
$17K |
| 76642 |
|
692 |
479 |
$15K |
| 76641 |
|
457 |
266 |
$12K |
| 77066 |
Tomosynthesis, mammo |
278 |
201 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
133 |
130 |
$6K |
| 77065 |
Tomosynthesis, mammo |
211 |
156 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
67 |
64 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
377 |
374 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
46 |
$284.23 |