| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
789 |
657 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
415 |
402 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
787 |
657 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,040 |
941 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
84 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
377 |
366 |
$2K |
| 76642 |
|
38 |
27 |
$731.78 |
| 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) |
89 |
78 |
$0.00 |