| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
180 |
169 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
96 |
95 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
173 |
172 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
173 |
172 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
366 |
358 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
154 |
147 |
$469.28 |
| 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) |
53 |
53 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
83 |
82 |
$0.00 |