| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
6,231 |
5,800 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,474 |
1,395 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
573 |
546 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
3,161 |
2,681 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
35 |
$720.36 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$447.75 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$388.76 |