| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
745 |
653 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
404 |
385 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
678 |
586 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,606 |
1,309 |
$7K |
| 73630 |
|
324 |
289 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
53 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
367 |
361 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 74018 |
|
96 |
85 |
$416.95 |
| 73610 |
|
19 |
17 |
$260.00 |
| 73130 |
|
16 |
12 |
$237.60 |
| 73562 |
|
15 |
13 |
$226.02 |
| 73030 |
|
14 |
14 |
$182.17 |