| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
133 |
132 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
131 |
130 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
119 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
25 |
$2K |
| 76642 |
|
26 |
26 |
$2K |
| 72100 |
|
40 |
40 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
30 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$793.30 |
| 73562 |
|
15 |
14 |
$501.57 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$473.11 |