| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,365 |
2,211 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
17,749 |
15,428 |
$43K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,018 |
996 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
375 |
359 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
2,085 |
2,038 |
$8K |
| 76641 |
|
127 |
125 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
452 |
431 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
192 |
162 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$577.93 |
| 74018 |
|
18 |
12 |
$22.49 |