| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
868 |
868 |
$110K |
| 76641 |
|
1,129 |
539 |
$81K |
| 77066 |
Tomosynthesis, mammo |
106 |
106 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
259 |
259 |
$12K |
| 77065 |
Tomosynthesis, mammo |
96 |
93 |
$11K |
| 76536 |
|
84 |
69 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
48 |
48 |
$2K |
| 10005 |
|
23 |
12 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$1K |
| 77080 |
|
28 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$509.08 |