| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
357 |
290 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$88.78 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$58.44 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$43.45 |
| 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) |
16 |
14 |
$0.00 |