| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,232 |
7,639 |
$629K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,166 |
7,595 |
$261K |
| 76642 |
|
4,135 |
3,511 |
$226K |
| 77066 |
Tomosynthesis, mammo |
2,196 |
1,867 |
$197K |
| 77065 |
Tomosynthesis, mammo |
3,026 |
2,414 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,710 |
3,997 |
$96K |
| 77061 |
|
1,552 |
1,398 |
$86K |
| 77062 |
|
1,377 |
1,247 |
$76K |
| 76536 |
|
652 |
592 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
449 |
400 |
$18K |
| 19083 |
|
55 |
40 |
$17K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,126 |
893 |
$16K |
| 71271 |
|
153 |
144 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
156 |
145 |
$8K |
| 99201 |
|
362 |
299 |
$7K |
| 77080 |
|
59 |
54 |
$3K |
| 91200 |
|
19 |
16 |
$407.51 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20 |
13 |
$332.24 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
12 |
$0.04 |
| 3342F |
|
345 |
336 |
$0.00 |
| 7025F |
|
565 |
553 |
$0.00 |