| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
985 |
890 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
99 |
99 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
99 |
99 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$920.32 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
27 |
$750.08 |
| 71046 |
Radiologic examination, chest; 2 views |
94 |
94 |
$719.71 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$341.92 |
| 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) |
199 |
182 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
31 |
30 |
$0.00 |