| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,643 |
18,642 |
$2.08M |
| 76641 |
|
10,000 |
9,946 |
$1.18M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18,548 |
18,547 |
$856K |
| 77066 |
Tomosynthesis, mammo |
1,244 |
1,244 |
$170K |
| 77062 |
|
458 |
458 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
313 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
103 |
$6K |
| 77065 |
Tomosynthesis, mammo |
44 |
44 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
49 |
$3K |