| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,954 |
4,060 |
$224K |
| 71045 |
Radiologic examination, chest; single view |
17,649 |
14,206 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,118 |
2,686 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
5,752 |
5,159 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
108 |
91 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
25 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
12 |
$284.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
12 |
$250.90 |
| 74018 |
|
31 |
24 |
$143.99 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,545 |
1,101 |
$0.00 |