| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,118 |
1,108 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
103 |
89 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
516 |
441 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
118 |
112 |
$2K |
| 76642 |
|
71 |
51 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
63 |
63 |
$1K |
| 77066 |
Tomosynthesis, mammo |
30 |
29 |
$884.45 |
| 77065 |
Tomosynthesis, mammo |
34 |
24 |
$769.86 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$688.22 |
| 71046 |
Radiologic examination, chest; 2 views |
91 |
89 |
$482.48 |