| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
560 |
525 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
341 |
332 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
266 |
228 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
252 |
216 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,225 |
1,072 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
325 |
315 |
$2K |
| 73630 |
|
25 |
24 |
$288.27 |
| 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) |
134 |
124 |
$0.00 |