| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
5,923 |
2,257 |
$469K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,407 |
2,258 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
581 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
471 |
471 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
262 |
$26K |
| 77066 |
Tomosynthesis, mammo |
169 |
168 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
445 |
445 |
$11K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
236 |
233 |
$6K |
| 76982 |
|
50 |
28 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 96160 |
|
52 |
51 |
$247.00 |