| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,981 |
1,654 |
$50K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,924 |
1,600 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
286 |
263 |
$18K |
| 76642 |
|
329 |
249 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
277 |
203 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,525 |
1,285 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
71 |
64 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
405 |
384 |
$2K |
| 77066 |
Tomosynthesis, mammo |
49 |
39 |
$2K |