| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
878 |
711 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
329 |
328 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
85 |
83 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$741.16 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$467.78 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$312.73 |
| 76641 |
|
21 |
12 |
$115.79 |