| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
378 |
338 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
350 |
336 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,280 |
2,026 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
431 |
343 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
412 |
329 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,209 |
1,051 |
$5K |
| 73630 |
|
70 |
67 |
$662.93 |
| 73562 |
|
16 |
12 |
$164.68 |
| 74018 |
|
12 |
12 |
$54.70 |