| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
2,867 |
2,824 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
345 |
343 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
741 |
728 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
167 |
167 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,367 |
1,198 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$514.24 |