| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,607 |
1,529 |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
992 |
959 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
1,566 |
1,517 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,393 |
1,310 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
235 |
228 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
127 |
124 |
$3K |
| 71250 |
|
43 |
41 |
$2K |
| 73630 |
|
220 |
198 |
$1K |
| 73562 |
|
180 |
173 |
$1K |
| 72110 |
|
92 |
91 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$929.27 |
| 73130 |
|
102 |
96 |
$641.18 |
| 73110 |
|
68 |
50 |
$440.50 |
| 73610 |
|
69 |
66 |
$417.60 |
| 73030 |
|
43 |
41 |
$291.50 |
| 74022 |
|
13 |
13 |
$157.07 |