| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,312 |
1,312 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,369 |
1,196 |
$8K |
| 76536 |
|
162 |
162 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
387 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
501 |
501 |
$715.52 |
| 77080 |
|
28 |
28 |
$458.93 |
| 76642 |
|
12 |
12 |
$327.71 |
| 99443 |
|
32 |
26 |
$229.68 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
395 |
384 |
$225.63 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,769 |
1,629 |
$99.28 |
| 99348 |
|
42 |
39 |
$90.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$18.97 |
| 36415 |
Collection of venous blood by venipuncture |
249 |
244 |
$18.90 |
| 93000 |
|
12 |
12 |
$17.45 |
| 99349 |
|
311 |
279 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
281 |
281 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |