| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12,694 |
12,300 |
$1.07M |
| 76642 |
|
9,252 |
7,461 |
$403K |
| 77066 |
Tomosynthesis, mammo |
3,675 |
3,453 |
$329K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12,743 |
12,353 |
$195K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
6,586 |
6,275 |
$123K |
| 77065 |
Tomosynthesis, mammo |
1,068 |
994 |
$72K |
| 77080 |
|
68 |
67 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$249.76 |
| 77062 |
|
71 |
69 |
$0.00 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
12 |
12 |
$0.00 |