| Code | Description | Claims | Beneficiaries | Total Paid |
| 99070 |
|
799 |
674 |
$405K |
| 19083 |
|
360 |
298 |
$137K |
| 76641 |
|
3,252 |
1,644 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,744 |
1,537 |
$98K |
| 76642 |
|
836 |
685 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,546 |
1,421 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
245 |
$28K |
| 99241 |
|
264 |
259 |
$12K |
| 99442 |
|
250 |
246 |
$10K |
| 19499 |
|
31 |
13 |
$4K |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
14 |
$3K |
| 77065 |
Tomosynthesis, mammo |
17 |
17 |
$2K |
| 99443 |
|
13 |
13 |
$225.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
50 |
$0.00 |