| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
112 |
93 |
$431.93 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$212.74 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$167.44 |
| 71045 |
Radiologic examination, chest; single view |
57 |
41 |
$104.45 |
| 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) |
26 |
20 |
$0.00 |