| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
491 |
465 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
552 |
397 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
549 |
396 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
222 |
210 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,182 |
1,095 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
432 |
425 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$555.94 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
29 |
29 |
$0.00 |