| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
2,956 |
2,380 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
196 |
177 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
436 |
415 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
38 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$445.22 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$358.74 |
| 3342F |
|
27 |
26 |
$0.00 |
| 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) |
1,726 |
1,578 |
$0.00 |
| 7025F |
|
32 |
26 |
$0.00 |