| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,610 |
4,060 |
$221K |
| 76641 |
|
3,526 |
2,028 |
$161K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,671 |
2,295 |
$53K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
858 |
526 |
$22K |
| 77049 |
|
36 |
13 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$613.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
50 |
$471.71 |
| 76982 |
|
15 |
12 |
$451.03 |
| 76377 |
|
35 |
13 |
$445.93 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
37 |
13 |
$315.18 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
683 |
618 |
$0.00 |
| 7025F |
|
3,590 |
3,195 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
3,173 |
2,544 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
3,119 |
2,501 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
2,251 |
1,872 |
$0.00 |
| 3341F |
|
1,596 |
1,455 |
$0.00 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
19 |
14 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
4,066 |
3,557 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
173 |
133 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
78 |
60 |
$0.00 |
| 3340F |
|
18 |
12 |
$0.00 |
| 1124F |
|
129 |
99 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| 3342F |
|
14 |
14 |
$0.00 |