| Code | Description | Claims | Bene. Records | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
727 |
595 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
70 |
63 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
27 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
148 |
121 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
25 |
$951.30 |
| 71010 |
|
95 |
74 |
$528.90 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$457.44 |
| 71020 |
|
30 |
30 |
$2.13 |