| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
845 |
790 |
$39K |
| 76641 |
|
716 |
395 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
89 |
81 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$280.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
16 |
$162.35 |
| 7025F |
|
549 |
512 |
$0.00 |
| 3341F |
|
171 |
165 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
445 |
407 |
$0.00 |
| G9708 |
Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy |
49 |
42 |
$0.00 |