| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,071 |
1,024 |
$56K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
188 |
187 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,055 |
985 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
664 |
649 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
99 |
77 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
75 |
65 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$421.60 |
| 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) |
138 |
118 |
$0.00 |