| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,076 |
891 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
46 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
75 |
72 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
41 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
254 |
247 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
13 |
$374.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$335.03 |